OrganizationActive
Florida Pediatric Gastroenterology Group, P.l.
NPI 1679604904 · Pediatric Gastroenterology Physician · Boca Raton, FL
Provider details
- NPI number
- 1679604904
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Oliva, Founding Member(561) 482-2092
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9980 N. Central Park Blvd.
Suite 202
Boca Raton, FL 33428
Phone: (561) 482-7038
Approximate (ZIP-level) locationGet directions
Mailing address
9980 N. Central Park Blvd.
Boca Raton, FL 33428
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.