Organization
FLORIDA DIGESTIVE SPECIALISTS, PA
Active
Other names
Florida Digestive Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVELISS VIERA (PRACTICE MANAGER)
(727) 443-4299
Entity
Organization
Contact information
Practice address
5651 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 443-4299
(727) 443-0255
Mailing address
5651 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 443-4299
(727) 443-0255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME36704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060540900
—
FL
Enumeration date
09/11/2006
Last updated
09/17/2020
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