Organization
ASSOCIATES IN DIGESTIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS BREYLEY RN (PRACTICE ADMINISTRATOR)
(239) 772-3636
Entity
Organization
Contact information
Practice address
625 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2667
(239) 772-3636
(239) 772-5073
Mailing address
625 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2667
(239) 772-3636
(239) 772-5073
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269648700
—
FL
01
—
45406
BCBS
FL
01
—
7519547
AETNA
FL
Enumeration date
10/23/2006
Last updated
07/21/2022
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