Organization
GASTROENTEROLOGY ASSOCIATES OF FLORIDA LLC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KAY LOWERY (CREDENTIALING MANAGER)
(469) 930-3077
Entity
Organization
Contact information
Practice address
5401 S CONGRESS AVE STE 211, ATLANTIS, FL 33462-6637
(561) 964-8221
(561) 964-7393
Mailing address
5401 S CONGRESS AVE STE 211, ATLANTIS, FL 33462-6637
(561) 964-8221
(561) 964-7393
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S351797620950
FLORIDA DRIVERS LICENSE
FL
Enumeration date
03/30/2018
Last updated
11/10/2025
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