Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coral Ridge Gastroenterology Associates LLC

Organization Gastroenterology Physician · NPI 1265628424

Coral Ridge Gastroenterology Associates LLC is a Gastroenterology Physician in Ft Lauderdale, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2021 E Commercial Blvd Ste 202
Ft Lauderdale, FL 33308-3763
Phone: (954) 202-7850
Fax: (954) 202-7781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1265628424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official V. Botoman — Facg/Facp · (954) 202-7850
NPI enumeratedSeptember 21, 2007
Last updated in NPPESJanuary 9, 2008
Mailing address2021 E Commercial Blvd, Suite 202, Ft Lauderdale, FL 33308-3763

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