Organization
GASTROENTEROLOGY CONSULTANTS OF CLEARWATER
Active
Parent organization
WEST CENTRAL GASTROENTEROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CENTRAL GASTROENTEROLOGY
Authorized official
DAVID J BECKER MD (CEO)
(727) 443-7700
Entity
Organization
Contact information
Practice address
508 JEFFORDS STREET STE D, CLEARWATER, FL 33756
(727) 443-7700
(727) 443-7701
Mailing address
508 JEFFORDS ST STE D, CLEARWATER, FL 33756-3839
(727) 443-7700
(727) 443-7701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0054832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250263100
—
FL
Enumeration date
12/20/2006
Last updated
12/08/2011
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