Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coral Ridge Gastroenterology Associates LLC

Organization Gastroenterology Physician · NPI 1265628424

Coral Ridge Gastroenterology Associates LLC provides Gastroenterology Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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