Organization
GASTROENTEROLOGY AND HEPATOLOGY FL LLC
Active
Organization
GASTROENTEROLOGY AND HEPATOLOGY FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINA BASU (ADMINISTRATOR)
(917) 226-0284
Entity
Organization
Contact information
Practice address
6735 CONROY RD STE 223, ORLANDO, FL 32835-3570
(917) 226-0284
Mailing address
9534 WICKHAM WAY, ORLANDO, FL 32836-5524
(917) 226-0284
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207RI0008X
Hepatology Physician
—
—
207RT0003X
Transplant Hepatology Physician
—
—
Other
Enumeration date
07/16/2019
Last updated
10/11/2019
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