| Center For Digestive Diseases Pa | |
|
1609 Pasadena Ave S Ste 3m St Petersburg FL 33707-4563 | |
| (727) 384-2016 | |
| (727) 343-3791 |
| Full Name | Center For Digestive Diseases Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1609 Pasadena Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Kathy F Jackson (SCHEDULE COORNIDATOR) |
| Authorized Official Contact | 7273842016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Digestive Diseases Pa Po Box 20267 Tampa FL 33622-0267 Ph: (727) 823-2188 | Center For Digestive Diseases Pa 1609 Pasadena Ave S Ste 3m St Petersburg FL 33707-4563 Ph: (727) 384-2016 |
| NPI Number | 1619900248 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619900248 | NPI | - | NPPES |
| 24038 | Other | FL | BCBS |
| CL1357 | Other | FL | RAILROAD MEDICARE |
| 373745400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME48637 (Florida) | Primary |
John E Kern Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5838 9th Ave N, St Petersburg, FL 33710 Phone: 727-347-8132 Fax: 727-347-3560 | |
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