| Digestive Disease Center Of Live Oak, Llc | |
|
609 5th St Sw Ste 6 Live Oak FL 32064-2239 | |
| (386) 330-2310 | |
| (386) 330-2314 |
| Full Name | Digestive Disease Center Of Live Oak, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 609 5th St Sw Ste 6, Live Oak, Florida |
| Authorized Official Name and Position | Eyad Alakrad (OWNER) |
| Authorized Official Contact | 3863302310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Center Of Live Oak, Llc 609 5th St Sw Ste 6 Live Oak FL 32064-2239 Ph: (386) 330-2310 | Digestive Disease Center Of Live Oak, Llc 609 5th St Sw Ste 6 Live Oak FL 32064-2239 Ph: (386) 330-2310 |
| NPI Number | 1336520816 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336520816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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