Organization
CORAL REEF GASTROENTEROLGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGI RUIZ (OWNER)
(772) 589-0580
Entity
Organization
Contact information
Practice address
7765 144TH STREET, SUITE 6, SEBASTIAN, FL 32958
(772) 589-0580
(772) 589-0760
Mailing address
7765 144TH STREET, SUITE 6, SEBASTIAN, FL 32958
(772) 589-0580
(772) 589-0760
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME95828
FL
Other
Enumeration date
09/30/2008
Last updated
09/15/2009
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