| Nathan Digestivecare LLC | |
|
4101 Nw 4th St Ste 104 Plantation FL 33317-2839 | |
| (954) 686-2980 | |
| Not Available |
| Full Name | Nathan Digestivecare LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4101 Nw 4th St Ste 104, Plantation, Florida |
| Authorized Official Name and Position | Ramasamy Swami Nathan (PRESIDENT) |
| Authorized Official Contact | 2014529397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Digestivecare LLC 4101 Nw 4th St Ste 104 Plantation FL 33317-2839 Ph: (954) 686-2980 | Nathan Digestivecare LLC 4101 Nw 4th St Ste 104 Plantation FL 33317-2839 Ph: (954) 686-2980 |
| NPI Number | 1861073355 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 6002225257 |
|---|---|
| Medicare Enrollment ID | O20210429001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861073355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Ramasamy Swami Nathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538114566 PECOS PAC ID: 5698744878 Enrollment ID: I20210429002058 |
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