Organization
FLORIDA PEDIATRIC GASTROENTEROLOGY GROUP, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS OLIVA M.D. (FOUNDING MEMBER)
(561) 482-2092
Entity
Organization
Contact information
Practice address
9980 N. CENTRAL PARK BLVD., SUITE 202, BOCA RATON, FL 33428
(561) 482-7038
Mailing address
9980 N. CENTRAL PARK BLVD., SUITE 202, BOCA RATON, FL 33428
(561) 482-7038
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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