| Digestive Disease And Cancer Institute Pa | |
|
34653 Us 19 N Palm Harbor FL 34684-2152 | |
| (727) 771-6135 | |
| (727) 771-2514 |
| Full Name | Digestive Disease And Cancer Institute Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 34653 Us 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Anoop Goyal (OWNER) |
| Authorized Official Contact | 7277716135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease And Cancer Institute Pa 34653 Us 19 N Palm Harbor FL 34684 Ph: (727) 771-6135 | Digestive Disease And Cancer Institute Pa 34653 Us 19 N Palm Harbor FL 34684-2152 Ph: (727) 771-6135 |
| NPI Number | 1942277181 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 09/19/2013 |
| Medicare PECOS PAC ID | 5991762825 |
|---|---|
| Medicare Enrollment ID | O20041213000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942277181 | NPI | - | NPPES |
| 253240900 | Medicaid | FL | |
| 253237900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME72984 (Florida) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | ME72929 (Florida) | Secondary |
| Provider Name | Anoop K Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164485751 PECOS PAC ID: 4880651710 Enrollment ID: I20041214000193 |
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