| Beach Gastro LLC | |
|
4460 Medical Center Way West Palm Beach FL 33407-3285 | |
| (863) 824-3447 | |
| (863) 824-3472 |
| Full Name | Beach Gastro LLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4460 Medical Center Way, West Palm Beach, Florida |
| Authorized Official Name and Position | Teresa Potrekus Perez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8638243447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Gastro LLC 4460 Medical Center Way West Palm Beach FL 33407-3285 Ph: (863) 824-3447 | Beach Gastro LLC 4460 Medical Center Way West Palm Beach FL 33407-3285 Ph: (863) 824-3447 |
| NPI Number | 1376036145 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 06/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376036145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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