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PREMIER GASTROENTEROLOGY PA NPI 1235246240


NPI Information

NPI: 1235246240
Provider Name: PREMIER GASTROENTEROLOGY PA

Other Name: M RODWAN HIBA

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
14540 CORTEZ BLVD
STE 120
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 597-4000
Get Directions

PREMIER GASTROENTEROLOGY PA is a gastroenterology internal medicine in Brooksville, 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. PREMIER GASTROENTEROLOGY PA NPI is 1235246240. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is M Rodwan Hiba.

The provider's business location address is:

14540 CORTEZ BLVD
STE 120
BROOKSVILLE, FL
ZIP 34613-002
Phone: (352) 597-4000
Fax: (352) 597-0550

The provider's authorized official is M. Rodwan Hiba .
The authorized official title is Gastroenterologist and has the following contact phone number (352) 597-4000.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 11/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyME69833FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G10711MEDICARE UPIN
249489YMEDICARE PINFLORIDA
3100016261OTHERRAILROAD MEDICARE
42119601215701OTHERBEECH ST
51003105OTHERHUMANA
67130182OTHERAETNA
7360846358OTHERFIRST HEALTH
849489OTHERBCBS
92593473OTHERGHI
102579162-0MEDICAIDFLORIDA
112987121OTHERUHC

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.