Organization
GASTROCARE LLC
Active
Other names
Gastrocare
Organization subpart
No
Provider details
NPI number
Authorized official
IAN R MARTINEZ MD (OWNER)
(787) 409-7099
Entity
Organization
Contact information
Practice address
2572 W STATE ROAD 426 STE 1000, OVIEDO, FL 32765-8389
(787) 409-7099
Mailing address
1946 FILLY TRL, OVIEDO, FL 32765-8130
(787) 409-7099
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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