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Organization

GASTRO HEALTH, LLC

Active
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Organization

GASTRO HEALTH, LLC

Active
Other names
Gastro Health, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES S LEAVITT MD (PRESIDENT)
(305) 468-4180
Entity
Organization

Contact information

Practice address
4791 W 4TH AVE, HIALEAH, FL 33012-3938
(305) 825-0500
(305) 825-5557
Mailing address
9500 S DADELAND BLVD, 200, MIAMI, FL 33156-2866
(305) 468-4185
(305) 675-3378

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
FL
2080P0206X
Pediatric Gastroenterology Physician
208C00000X
Colon & Rectal Surgery Physician
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008258300
FL
Enumeration date
10/24/2017
Last updated
10/24/2017
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