Organization
GASTROENTEROLOGY GROUP OF THE PALM BEACHES, PA
Active
Organization
GASTROENTEROLOGY GROUP OF THE PALM BEACHES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BOLOGNINI (ADMINISTRATIVE DIRECTOR)
(561) 659-6632
Entity
Organization
Contact information
Practice address
2001 N FLAGLER DR, WEST PALM BEACH, FL 33407-6109
(561) 659-6543
(561) 659-3533
Mailing address
2001 N FLAGLER DR, WEST PALM BEACH, FL 33407-6109
(561) 659-6543
(561) 659-3533
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0043419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042147200
—
FL
Enumeration date
06/17/2005
Last updated
11/30/2009
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