Organization
GI DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HARRIS NATHANSON (AUTHORIZED OFFICIAL)
(561) 961-0208
Entity
Organization
Contact information
Practice address
4805 NW 2ND AVE, BOCA RATON, FL 33431-4141
(203) 988-0567
Mailing address
4805 NW 2ND AVE, BOCA RATON, FL 33431-4141
(561) 961-0208
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127362200
—
FL
Enumeration date
02/15/2024
Last updated
04/02/2026
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