Organization
DIGESTIVE AND LIVER CENTER OF MELBOURNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAGED DOSS FARID MD (OWNER)
(321) 752-5210
Entity
Organization
Contact information
Practice address
25 E SILVER PALM AVE, SUITE B, MELBOURNE, FL 32901-3177
(321) 725-4150
(321) 733-1335
Mailing address
25 SILVER PALM AVE, SUITE B, MELBOURNE, FL 32901-3177
(321) 725-4150
(321) 733-1335
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
1165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075356400
—
FL
Enumeration date
11/21/2006
Last updated
03/22/2012
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