| Treasure Coast Gastro Health | |
|
2215 Nebraska Ave Ste 1a Fort Pierce FL 34950-4864 | |
| (772) 567-6181 | |
| (772) 567-8242 |
| Full Name | Treasure Coast Gastro Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 2215 Nebraska Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Pramod Joseph (PRESIDENT) |
| Authorized Official Contact | 7725676181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Gastro Health 2122 Milano Ct Palm Beach Gardens FL 33418-6705 Ph: (772) 567-6181 | Treasure Coast Gastro Health 2215 Nebraska Ave Ste 1a Fort Pierce FL 34950-4864 Ph: (772) 567-6181 |
| NPI Number | 1215314018 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 5294048609 |
|---|---|
| Medicare Enrollment ID | O20150714001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215314018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Pramod Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720222102 PECOS PAC ID: 1850446535 Enrollment ID: I20090901000626 |
| Provider Name | Celso E. Pineiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053325118 PECOS PAC ID: 3072645944 Enrollment ID: I20100713000676 |
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