Organization
DIGESTIVE AND LIVER CENTER OF MELBOURNE LLC
Active
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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