Provider Demographics
NPI:1144110982
Name:GASTRO MD
Entity type:Organization
Organization Name:GASTRO MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCE PRACTICE REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-921-5228
Mailing Address - Street 1:835 CURRENCY CIR STE 1001
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2293
Mailing Address - Country:US
Mailing Address - Phone:407-749-6656
Mailing Address - Fax:
Practice Address - Street 1:835 CURRENCY CIR STE 1001
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2293
Practice Address - Country:US
Practice Address - Phone:407-749-6656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty