Organization
DIGESTIVE & LIVER DISEASE CONSULTANTS OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MANUEL RIVAS MD (MEDICAL DIRECTOR /OWNER)
(954) 451-5932
Entity
Organization
Contact information
Practice address
7369 SHERIDAN ST STE 300, HOLLYWOOD, FL 33024-2776
(954) 451-5932
(954) 949-4351
Mailing address
7369 SHERIDAN ST STE 300, HOLLYWOOD, FL 33024-2776
(954) 451-5932
(954) 949-4351
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME118726
FL
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Enumeration date
10/18/2016
Last updated
05/24/2019
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