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Organization

DIGESTIVE DISEASE ASSOCIATES OF SOUTH FLORIDA, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES M KNISKERN MHSA, MBA (ADMINISTRATOR)
(954) 721-5400
Entity
Organization

Contact information

Practice address
7475 N UNIVERSITY DR, TAMARAC, FL 33321-2971
(954) 721-5400
(954) 601-0467
Mailing address
7475 N UNIVERSITY DR, TAMARAC, FL 33321-2971
(954) 721-5400
(954) 601-0467

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
FL

Other

Enumeration date
09/30/2005
Last updated
04/28/2008
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