Organization
BOCA RATON GASTROENTEROLOGY CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEON MELLMAN M.D. (PRESIDENT)
(561) 395-5204
Entity
Organization
Contact information
Practice address
1000 NW 9TH CT, SUITE 204, BOCA RATON, FL 33486-2268
(561) 395-5204
(561) 395-6177
Mailing address
1000 NW 9TH CT, SUITE 204, BOCA RATON, FL 33486-2268
(561) 395-5204
(561) 395-6177
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
09/02/2010
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