Organization
SUNCOAST GASTROENTEROLOGY PA
Active
Organization
SUNCOAST GASTROENTEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BUENO M.D. (PRESIDENT)
(352) 634-0255
Entity
Organization
Contact information
Practice address
214 S PINE AVE, INVERNESS, FL 34452-4838
(352) 726-9006
(352) 726-4527
Mailing address
PO BOX 606, CRYSTAL RIVER, FL 34423-0606
(352) 634-0255
(352) 419-6310
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
11/22/2014
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