Organization
PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC
Active
Organization
PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE REEVES-GARCIA MD (PRESIDENT)
(305) 661-6110
Entity
Organization
Contact information
Practice address
8955 SW 87TH CT STE 206, MIAMI, FL 33176-2223
(786) 888-2480
Mailing address
3200 SW 60TH CT STE 204, MIAMI, FL 33155-4070
(305) 661-6110
(305) 662-5882
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377245400
—
FL
Enumeration date
07/05/2006
Last updated
12/08/2020
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