Provider Demographics
NPI:1518089945
Name:GENTLE MEDICINE ASSOCIATES
Entity Type:Organization
Organization Name:GENTLE MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:BATAILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-737-1317
Mailing Address - Street 1:202 SE 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7620
Mailing Address - Country:US
Mailing Address - Phone:561-737-1317
Mailing Address - Fax:561-364-0097
Practice Address - Street 1:202 SE 23RD AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7620
Practice Address - Country:US
Practice Address - Phone:561-737-1317
Practice Address - Fax:561-364-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME798912080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2607492Medicaid
FL58050OtherBCBS
FL58050OtherBCBS