IndividualActive
Justin De Boer, M.D.
NPI 1104184027 · Pediatric Gastroenterology Physician · Orlando, FL
Provider details
- NPI number
- 1104184027
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME134140 (FL)
Practice location
60 W Gore St
Orlando, FL 32806-1141
Phone: (321) 841-3338
Fax: (321) 841-2170
Mailing address
60 W Gore St
Orlando, FL 32806-1141
Registry dates
- Enumerated
- 2012-04-28
- Last updated
- 2019-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.