| Digestive Diseases Services Of South Florida P A | |
|
777 E 25th St Suite 416 Hialeah FL 33013-3825 | |
| (786) 493-1551 | |
| Not Available |
| Full Name | Digestive Diseases Services Of South Florida P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Luis Nasiff (PRESIDENT) |
| Authorized Official Contact | 7864931551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Diseases Services Of South Florida P A 5501 W 79th St Suite 400 Burbank IL 60459-1784 Ph: (773) 884-4523 | Digestive Diseases Services Of South Florida P A 777 E 25th St Suite 416 Hialeah FL 33013-3825 Ph: (786) 493-1551 |
| NPI Number | 1700074226 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 10/21/2014 |
| Medicare PECOS PAC ID | 2860562238 |
|---|---|
| Medicare Enrollment ID | O20080528000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700074226 | NPI | - | NPPES |
| ME57104 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME57104 (Florida) | Primary |
| Provider Name | Luis S Nasiff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508840430 PECOS PAC ID: 2961307871 Enrollment ID: I20060413000293 |
| Provider Name | Osvaldo Matos Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194205120 PECOS PAC ID: 6800131772 Enrollment ID: I20181220002183 |
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