Organization
DIGESTIVE DISEASES ASSOCIATES OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN CORMAN (PRACTICE ADMINISTRATOR)
(813) 653-3359
Entity
Organization
Contact information
Practice address
876 S PARSONS AVE, BRANDON, FL 33511-6007
(813) 653-3359
(813) 662-9639
Mailing address
876 S PARSONS AVE, BRANDON, FL 33511-6007
(813) 653-3359
(813) 662-9639
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME56348
FL
Other
Enumeration date
08/30/2006
Last updated
09/16/2008
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