Organization
GASTRO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHITABH PATIL MD (OWNER)
(727) 345-5500
Entity
Organization
Contact information
Practice address
3901 66TH ST N, SUITE 201, ST PETERSBURG, FL 33709-4949
(727) 345-5500
Mailing address
3901 66TH ST N, SUITE 201, ST PETERSBURG, FL 33709-4949
(727) 345-5500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME112424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001174000
—
FL
01
—
1346371085
NPI
—
Enumeration date
02/23/2016
Last updated
02/23/2016
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