| Gastro-intestinal Consultants Of Central Florida, Llc | |
|
2134 Vindale Rd Tavares FL 32778-5602 | |
| (352) 383-7703 | |
| (352) 383-8875 |
| Full Name | Gastro-intestinal Consultants Of Central Florida, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2134 Vindale Rd, Tavares, Florida |
| Authorized Official Name and Position | Lalbahadur S Nagabhairu (MANAGER) |
| Authorized Official Contact | 3523837703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro-intestinal Consultants Of Central Florida, Llc 2134 Vindale Rd Tavares FL 32778-5602 Ph: (352) 383-7703 | Gastro-intestinal Consultants Of Central Florida, Llc 2134 Vindale Rd Tavares FL 32778-5602 Ph: (352) 383-7703 |
| NPI Number | 1982642922 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 04/29/2026 |
| Medicare PECOS PAC ID | 0446270995 |
|---|---|
| Medicare Enrollment ID | O20051130000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982642922 | NPI | - | NPPES |
| 273961500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Dan E Nesmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982761615 PECOS PAC ID: 5294773966 Enrollment ID: I20050422000196 |
| Provider Name | Matthew Loughlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255307401 PECOS PAC ID: 1951214246 Enrollment ID: I20050920000306 |
| Provider Name | Lalbahadur S Nagabhairu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013956473 PECOS PAC ID: 7719907161 Enrollment ID: I20051201000165 |
| Provider Name | Shams Tabrez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215902184 PECOS PAC ID: 6305917139 Enrollment ID: I20080620000544 |
| Provider Name | Jessica Lynne Moscoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548834450 PECOS PAC ID: 6800295882 Enrollment ID: I20210524002335 |
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