Organization
GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAURANG NAGINLAL SHAH M.D. (PRESIDENT)
(904) 737-2300
Entity
Organization
Contact information
Practice address
4123 UNIVERSITY BLVD S STE A, JACKSONVILLE, FL 32216-4320
(904) 737-2300
(904) 737-2441
Mailing address
4123 UNIVERSITY BLVD S STE A, JACKSONVILLE, FL 32216-4320
(904) 737-2300
(904) 737-2441
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME38507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066207100
—
FL
Enumeration date
04/03/2007
Last updated
06/24/2010
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