| Florida Digestive And Liver Specialists Pa | |
|
25 Silver Palm Ave Melbourne FL 32901-3177 | |
| (321) 725-4150 | |
| (321) 733-1335 |
| Full Name | Florida Digestive And Liver Specialists Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Silver Palm Ave, Melbourne, Florida |
| Authorized Official Name and Position | Liz Mazara (BILLING DEPARTMENT) |
| Authorized Official Contact | 3217525210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Digestive And Liver Specialists Pa 25 Silver Palm Ave Melbourne FL 32901-3177 Ph: (321) 725-4150 | Florida Digestive And Liver Specialists Pa 25 Silver Palm Ave Melbourne FL 32901-3177 Ph: (321) 725-4150 |
| NPI Number | 1215154661 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 09/15/2010 |
| Medicare PECOS PAC ID | 8628083730 |
|---|---|
| Medicare Enrollment ID | O20060215000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215154661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME79573 (Florida) | Primary |
| Provider Name | Jeanne L Ackerman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841272853 PECOS PAC ID: 7012079288 Enrollment ID: I20081222000582 |
| Provider Name | Shireen Fawzi Gadallah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700983863 PECOS PAC ID: 5991710766 Enrollment ID: I20101229000063 |
| Provider Name | Daniel Sanchez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508278532 PECOS PAC ID: 6103164439 Enrollment ID: I20190228000695 |
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