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DIGESTIVE DISEASES CENTER OF FLORIDA PLLC NPI 1548205651


NPI Information

NPI: 1548205651
Provider Name: DIGESTIVE DISEASES CENTER OF FLORIDA, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D0270615

Address:
204 E 19TH ST
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-5409
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DIGESTIVE DISEASES CENTER OF FLORIDA, PLLC is a specialist in Panama City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DIGESTIVE DISEASES CENTER OF FLORIDA, PLLC NPI is 1548205651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

204 E 19TH ST
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-5409
Fax: (850) 763-7129

The provider's authorized official is Palep N Rao .
The authorized official title is Ceo and has the following contact phone number (850) 784-2105.

The CLIA number assigned to this NPI record is 10D0270615 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 3/9/2022.


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
1174400000XSpecialistFLORIDAYes

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
1060615400MEDICAIDFLORIDA

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.