| Digestive Health Center Of South Florida Pllc | |
|
4515 Wiles Rd Ste 201 Coconut Creek FL 33073-3414 | |
| (954) 943-1133 | |
| (954) 783-6845 |
| Full Name | Digestive Health Center Of South Florida Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4515 Wiles Rd Ste 201, Coconut Creek, Florida |
| Authorized Official Name and Position | Mrinal S Garg (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9549431133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Center Of South Florida Pllc 4515 Wiles Rd Ste 201 Coconut Creek FL 33073-3414 Ph: (954) 943-1133 | Digestive Health Center Of South Florida Pllc 4515 Wiles Rd Ste 201 Coconut Creek FL 33073-3414 Ph: (954) 943-1133 |
| NPI Number | 1003448242 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 7416388574 |
|---|---|
| Medicare Enrollment ID | O20200506000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003448242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mrinal S Garg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427393065 PECOS PAC ID: 0840413589 Enrollment ID: I20181109002009 |
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