| Gastroenterology Consultants Of Clearwater | |
|
508 Jeffords Street Ste D Clearwater FL 33756 | |
| (727) 443-7700 | |
| (727) 443-7701 |
| Full Name | Gastroenterology Consultants Of Clearwater |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 508 Jeffords Street Ste D, Clearwater, Florida |
| Authorized Official Name and Position | David J Becker (CEO) |
| Authorized Official Contact | 7274437700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Of Clearwater 508 Jeffords St Ste D Clearwater FL 33756-3839 Ph: (727) 443-7700 | Gastroenterology Consultants Of Clearwater 508 Jeffords Street Ste D Clearwater FL 33756 Ph: (727) 443-7700 |
| NPI Number | 1528122827 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528122827 | NPI | - | NPPES |
| 250263100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0054832 (Florida) | Primary |
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