Organization
DIGESTIVE DISEASE CONSULTANTS
Active
Organization
DIGESTIVE DISEASE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KAY LOWERY (CREDENTIALING MANAGER)
(469) 930-3077
Entity
Organization
Contact information
Practice address
2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4416
(904) 388-8686
(904) 387-2659
Mailing address
950 E STATE HIGHWAY 114 STE 200, SOUTHLAKE, TX 76092-5261
(904) 388-8686
(904) 387-2659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/06/2012
Last updated
06/04/2026
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