Organization
BEACH GASTRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA POTREKUS PEREZ (DIRECTOR OF OPERATIONS)
(863) 824-3447
Entity
Organization
Contact information
Practice address
4460 MEDICAL CENTER WAY, WEST PALM BEACH, FL 33407-3285
(863) 824-3447
(863) 824-3472
Mailing address
4460 MEDICAL CENTER WAY, WEST PALM BEACH, FL 33407-3285
(863) 824-3447
(863) 824-3472
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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