Organization
DIGESTIVE DISEASES CARE FOR ALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMUDUL HAQUE M.D. (OWNER)
(863) 802-1111
Entity
Organization
Contact information
Practice address
805 EAST GARDEN STREET, LAKELAND, FL 33805-4616
(863) 802-1111
(863) 802-6711
Mailing address
PO BOX 249, HIGHLAND CITY, FL 33846-0249
(863) 687-8335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
ME93947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274846100
—
FL
Enumeration date
05/01/2009
Last updated
10/30/2014
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