Organization
GASTRO GROUP OF THE PALM BEACHES LLP
Active
Organization
GASTRO GROUP OF THE PALM BEACHES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BOLOGNINI (CHIEF OPERATING OFFICER)
(561) 659-6632
Entity
Organization
Contact information
Practice address
3401 PGA BLVD STE 500, PALM BEACH GARDENS, FL 33410-2825
(561) 659-6543
(561) 659-3533
Mailing address
3401 PGA BLVD STE 500, PALM BEACH GARDENS, FL 33410-2825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002990900
—
FL
Enumeration date
09/23/2010
Last updated
02/14/2025
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