Organization
GASTRO HEALTH SPECIALTY PHARMACY, LLC
Active
Parent organization
GASTRO HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTRO HEALTH LLC
Authorized official
JAMES LEAVITT MD (PRESIDENT)
(305) 913-0666
Entity
Organization
Contact information
Practice address
7500 SW 87TH AVENUE, 202, MIAMI, FL 33173-3317
(305) 468-4199
Mailing address
9500 S DADELAND BLVD, 200, MIAMI, FL 33156-2866
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015925600
MEDICAID NUMBER
FL
Enumeration date
03/19/2018
Last updated
03/19/2018
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