Organization
DIGESTIVE & LIVER WELLNESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA RODRIGUEZ M.D. (OWNER/PRESIDENT)
(786) 500-4644
Entity
Organization
Contact information
Practice address
925 NE 30TH TER STE 204, HOMESTEAD, FL 33033-7614
(786) 500-4644
(786) 530-6862
Mailing address
925 NE 30TH TER STE 204, HOMESTEAD, FL 33033-7614
(786) 500-4644
(786) 530-6862
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100493500
—
FL
Enumeration date
04/29/2020
Last updated
01/12/2021
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