Justin Adam De Boer
M.D. | Pediatric Gastroenterology | Male
Justin Adam De Boer, M.D. is a Orlando, Florida based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Justin Adam De Boer is
60 W Gore St, Orlando, Florida - 32806-1141. He can be contacted on phone at
321-841-3338 and fax number 321-841-2170.
Justin Adam De Boer is a sole proprietor of his business.
NPI number (Unique professional ID) for Justin Adam De Boer is
1104184027 which was assigned by NPPES on 28 Apr, 2012 and it was last updated on 20 Jun, 2019.
Justin Adam De Boer license number is
ME134140 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Florida.
Justin Adam De Boer specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Justin Adam De Boer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Justin Adam De Boer |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Justin Adam De Boer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 60 W Gore St
Orlando, FL, 32806-1141
United States |
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| Phone Number : | 321-841-3338 |
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| Fax Number : | 321-841-2170 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104184027 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2012 |
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| Last Updated On : | 20 Jun, 2019 |
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Medicare Participation:
Justin Adam De Boer participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6507170230 |
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| Medicare Enrollment ID : | I20190626003305 |
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| Primary Specialty : | Gastroenterology |
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| Medical School : | University Central Del Caribe Escuela De Medicina |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Justin Adam De Boer accepts medicare insurance. |
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Group Practice Association:
Justin Adam De Boer is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Justin Adam De Boer is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Orlando Health Medical Group Inc | 9537059084 | 1287 | 60 W Gore St
Orlando, FL - 328061141
Ph: 4074231039 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Adam De Boer are as mentioned. Primary taxonomy code for Justin Adam De Boer, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | ME134140 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Justin Adam De Boer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 102833800 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 60 W Gore St
Orlando, FL, 32806-1141
United States |
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| Phone Number : | 321-841-3338 |
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| Fax Number : | 321-841-2170 |
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Business Location:
Patients can refer following map for directions to
Justin Adam De Boer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.