South Florida Center of Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

05-5402 Issued in FL

Legal business name

SOUTH FLORIDA CENTER OF GASTROENTEROLOGY

Practice address

10115 Forest Hill Blvd
Suite 100
Wellington, FL 33414

Phone

(561) 798-2425

Fax

(561) 798-6356

NPI assigned

Feb 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew J Smith, DO

Title

President

Phone

(561) 798-2425

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South Florida Center of Gastroenterology3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gastrocare, LLP

  • Gastroenterology Physician
  • Wellington, FL
  • NPI 1003909888
  NPD tax ID
• South Florida Center of Gastroenterology

  • Gastroenterology Physician
  • Wellington, FL
  • NPI 1689742157
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992771422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 100",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-798-2425",
            "fax_number": "561-798-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 100",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-798-2425",
            "fax_number": "561-798-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA CENTER OF GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-798-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "05-5402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057313200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Israel Soto Rolon, CRNA
• Dora Marlene Soto
• South Broward Hospital District
• South Broward Hospital District
• South Florida Center of Gastroenterology
• South Florida Diagnostic Resources LLC
• South Florida Medicine LLC
• South Florida Pediatric Hospitalists
• South Florida Surgical Suites LLC
• Southwest Florida Infusion Care Inc

• Gastroenterology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.