| The Center For Gastrointestinal Disorders | |
|
1150 N 35th Avenue Suite 445 Hollywood FL 33021 | |
| (954) 961-7771 | |
| (954) 961-9633 |
| Full Name | The Center For Gastrointestinal Disorders |
|---|---|
| Speciality | Internal Medicine |
| Location | 1150 N 35th Avenue, Hollywood, Florida |
| Authorized Official Name and Position | Mark Lamet (PRESIDENT OWNER) |
| Authorized Official Contact | 9549617771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Gastrointestinal Disorders 1150 N 35th Avenue Suite 445 Hollywood FL 33021 Ph: (954) 961-7771 | The Center For Gastrointestinal Disorders 1150 N 35th Avenue Suite 445 Hollywood FL 33021 Ph: (954) 961-7771 |
| NPI Number | 1013004605 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/07/2017 |
| Medicare PECOS PAC ID | 8628970423 |
|---|---|
| Medicare Enrollment ID | O20040122000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013004605 | NPI | - | NPPES |
| 064455200 | Medicaid | FL | |
| 10D0709356 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Alvin Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528130549 PECOS PAC ID: 8224037882 Enrollment ID: I20061207000417 |
| Provider Name | Mark Lamet |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972554731 PECOS PAC ID: 0547162356 Enrollment ID: I20100715000418 |
| Provider Name | Ari Lamet |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871723528 PECOS PAC ID: 7012200116 Enrollment ID: I20160727001335 |
| Provider Name | Heather L Perkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538703376 PECOS PAC ID: 5092149955 Enrollment ID: I20191231000430 |
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