Organization
GASTROENTEROLOGY ASSOC. OF SARASOTA
Active
Parent organization
FLORIDA DIGESTIVE HEALTH SPECIALIST
Other names
FDHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DIGESTIVE HEALTH SPECIALIST
Authorized official
DEBRA DAVIDSON (PRACTICE ADMINISTRATOR)
(941) 556-1415
Entity
Organization
Contact information
Practice address
2089 HAWTHORNE ST, SUITE 200, SARASOTA, FL 34239-2308
(941) 365-6556
(941) 365-6678
Mailing address
2089 HAWTHORNE ST, SUITE 200, SARASOTA, FL 34239-2308
(941) 365-6556
(941) 365-6678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003263
RAILROAD MEDICARE
—
01
—
100003264
RAILROAD MEDICARE
—
01
—
100016526
RAILROAD MEDICARE
—
01
—
P00092139
RAILROAD MEDICARE
—
Enumeration date
01/17/2007
Last updated
01/30/2014
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