Organization
FLORIDA PEDIATRIC GASTROENTEROLOGY GROUP, P.L.
Active
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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