GASTRO HEALTH, LLC (NPI# 1336661073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336661073 |
| Entity Type | Organization |
| Organization Name | GASTRO HEALTH, LLC |
| Practice Address |
11011 Sheridan St Ste 109 Hollywood FL 33026-1501 |
| Mailing Address |
9500 S Dadeland Blvd Ste 200 Miami FL 33156-2866 |
| Practice Telephone | 9549618400 |
| Practice Fax Number | 9549618401 |
| Mailing Telephone | 3054684185 |
| Mailing Fax Number | 3056753378 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | JAMES S LEAVITT (PRESIDENT) |
| Authorized Official Telephone | 3054684185 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTRO HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942722681 | Gastro Health, LLC | Pharmacist | 4700 Sheridan St Ste F, Hollywood, FL 33021-3416 | 2017-07-14 |
| 1922519420 | Gastro Health, LLC | Pediatrics | 4791 W 4th Ave, Hialeah, FL 33012-3938 | 2017-10-24 |
| 1649703232 | Gastro Health, LLC | Pharmacist | 4675 Linton Blvd, 202, Delray Beach, FL 33445-6615 | 2017-04-10 |
| 1720526320 | Gastro Health, LLC | Pharmacist | 1157 S State Road 7, Wellington, FL 33414-6101 | 2017-02-03 |
| Street Address |
11011 SHERIDAN ST STE 109 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33026-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773890 | Amanda J Dolif | Nurse Practitioner | 11011 Sheridan St Ste 109, Hollywood, FL 33026-1501 | 2019-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002519 | Sara Margaret Roberts | Pharmacist | 45055 Millstone Ln, Hollywood, MD 20636-2852 | 2020-10-31 |
| 1861092637 | Hina Y Shah | Pharmacist | 11153 Chandler Dr, Hollywood, FL 33026-4740 | 2020-10-29 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1932720794 | Olaya Mosquera | Pharmacist | 2140 N 29th Ave Apt 308, Hollywood, FL 33020-1723 | 2020-05-04 |
| 1316576648 | Ekaterina Bernadskiy | Pharmacist | 1261 Coral Ln, Hollywood, FL 33019-2203 | 2020-04-07 |
| 1912405028 | Sherin Varikatt | Pharmacist | 3704 Beach Way, Hollywood, FL 33026-1208 | 2018-01-24 |
| 1164944757 | Olivia Sanchez | Pharmacist | 360 S State Road 7, Hollywood, FL 33023-6718 | 2017-07-14 |
| 1942722681 | Gastro Health, LLC | Pharmacist | 4700 Sheridan St Ste F, Hollywood, FL 33021-3416 | 2017-07-14 |
| 1649664541 | Chanel Thompson | Pharmacist | 4820 Johnson St, Hollywood, FL 33021-5211 | 2015-03-28 |
| 1023409588 | Cynthia L Jean | Pharmacist | 6910 Stirling Rd, Hollywood, FL 33024-1839 | 2015-02-05 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.