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Organization

DIGESTIVE AND LIVER DISEASE INSTITUTE OF FLORIDA, LLC

Active
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Organization

DIGESTIVE AND LIVER DISEASE INSTITUTE OF FLORIDA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BASHER ATIQUZZAMAN MD (PRESIDENT)
(407) 415-2481
Entity
Organization

Contact information

Practice address
505 W OAK ST STE 202, KISSIMMEE, FL 34741-4986
(407) 846-6331
(407) 846-0137
Mailing address
505 W OAK ST STE 202, KISSIMMEE, FL 34741-4986
(407) 846-6331
(407) 846-0137

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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