Organization
DIGESTIVE 305 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGUYEN CABALLERO APRN (MANAGER)
(305) 505-7714
Entity
Organization
Contact information
Practice address
940 HUNTING LODGE DRIVE, MIAMI SPRINGS, FL 33166
(305) 505-7714
Mailing address
10 CANAL ST STE 277, MIAMI SPRINGS, FL 33166-4404
(305) 505-7714
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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