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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