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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