Provider Demographics
NPI:1831113208
Name:VERO GASTROENTEROLOGY LLC
Entity Type:Organization
Organization Name:VERO GASTROENTEROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ZEREGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-299-3511
Mailing Address - Street 1:3745 11TH CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4837
Mailing Address - Country:US
Mailing Address - Phone:772-299-3511
Mailing Address - Fax:772-299-3517
Practice Address - Street 1:3745 11TH CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4837
Practice Address - Country:US
Practice Address - Phone:772-299-3511
Practice Address - Fax:772-299-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45805OtherBLUE CROSS BLUE SHIELD
FLK2731Medicare PIN