| Central Florida Gastroenterology P A | |
|
1053 Medical Center Dr Suite 251 Orange City FL 32763-8260 | |
| (386) 775-4720 | |
| (386) 775-6343 |
| Full Name | Central Florida Gastroenterology P A |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1053 Medical Center Dr, Orange City, Florida |
| Authorized Official Name and Position | Purna Parikh (TRUSTEE/SECRATERY) |
| Authorized Official Contact | 3867754720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Gastroenterology P A 1053 Medical Center Dr Suite # 251 Orange City FL 32763-8260 Ph: (386) 775-4720 | Central Florida Gastroenterology P A 1053 Medical Center Dr Suite 251 Orange City FL 32763-8260 Ph: (386) 775-4720 |
| NPI Number | 1679507925 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679507925 | NPI | - | NPPES |
| 053601600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0060089 (Florida) | Primary |
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