Organization
DIGESTIVE DISEASE SPECIALISTS P L
Active
Other names
Florida Digestive Disease Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUN PUNWANI KHAZANCHI M.D. (PRESIDENT)
(941) 388-6976
Entity
Organization
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD, SUITE 101, BRADENTON, FL 34202-5180
(941) 361-1100
Mailing address
8374 MARKET ST, #475, BRADENTON, FL 34202-5137
(941) 361-1100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME86268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AE633
GROUP PTAN
FL
01
—
E8467Y
MEDICARE PTAN
FL
Enumeration date
06/06/2007
Last updated
11/23/2007
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