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DIGESTIVE & LIVER WELLNESS PA NPI 1477174662


NPI Information

NPI: 1477174662
Provider Name: DIGESTIVE & LIVER WELLNESS PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
925 NE 30TH TER STE 204
HOMESTEAD, FL
ZIP 33033
Phone: (786) 500-4644
Get Directions

DIGESTIVE & LIVER WELLNESS PA is a gastroenterology internal medicine in Homestead, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DIGESTIVE & LIVER WELLNESS PA NPI is 1477174662. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

925 NE 30TH TER STE 204
HOMESTEAD, FL
ZIP 33033-614
Phone: (786) 500-4644
Fax: (786) 530-6862

The provider's authorized official is Sandra Rodriguez .
The authorized official title is Owner/president and has the following contact phone number (786) 500-4644.

The enumeration date for this NPI number is 4/29/2020 and was last updated on 1/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100493500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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