Organization
CENTRAL FLORIDA GASTROENTEROLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PURNA PARIKH (TRUSTEE/SECRATERY)
(386) 775-4720
Entity
Organization
Contact information
Practice address
1053 MEDICAL CENTER DR, SUITE 251, ORANGE CITY, FL 32763-8260
(386) 775-4720
(386) 775-6343
Mailing address
1053 MEDICAL CENTER DR, SUITE # 251, ORANGE CITY, FL 32763-8260
(386) 775-4720
(386) 775-6343
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0060089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053601600
—
FL
Enumeration date
07/11/2006
Last updated
04/17/2009
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