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FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA NPI 1215154661


NPI Information

NPI: 1215154661
Provider Name: FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 10D1105837

Address:
25 SILVER PALM AVE
MELBOURNE, FL
ZIP 32901
Phone: (321) 725-4150
Get Directions

FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA is a gastroenterology internal medicine in Melbourne, 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. FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA NPI is 1215154661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 SILVER PALM AVE
MELBOURNE, FL
ZIP 32901-177
Phone: (321) 725-4150
Fax: (321) 733-1335

The provider's authorized official is Liz Mazara .
The authorized official title is Billing Department and has the following contact phone number (321) 752-5210.

The CLIA number assigned to this NPI record is 10D1105837 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 9/15/2010.


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 MedicineGastroenterologyME79573FLORIDAYes

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
1F68489MEDICARE UPIN

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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