Organization
DIGESTIVE DISEASES SERVICES OF SOUTH FLORIDA P A
Active
Organization
DIGESTIVE DISEASES SERVICES OF SOUTH FLORIDA P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS NASIFF M.D. (PRESIDENT)
(786) 493-1551
Entity
Organization
Contact information
Practice address
777 E 25TH ST, SUITE 416, HIALEAH, FL 33013-3825
(786) 493-1551
Mailing address
5501 W 79TH ST, SUITE 400, BURBANK, IL 60459-1784
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME57104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME57104
LICENSE
FL
Enumeration date
10/10/2007
Last updated
10/21/2014
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