| Florida Digestive Health Specialists, Llp | |
|
10920 Technology Ter Lakewood Ranch FL 34211-4930 | |
| (941) 757-4810 | |
| (941) 757-4813 |
| Full Name | Florida Digestive Health Specialists, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 10920 Technology Ter, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Anthony Ditomaso (CHAIRMAN) |
| Authorized Official Contact | 9417574810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Digestive Health Specialists, Llp Po Box 919344 Orlando FL 32891-9344 Ph: (941) 757-4820 | Florida Digestive Health Specialists, Llp 10920 Technology Ter Lakewood Ranch FL 34211-4930 Ph: (941) 757-4810 |
| NPI Number | 1518267327 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 6507054582 |
|---|---|
| Medicare Enrollment ID | O20101216000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518267327 | NPI | - | NPPES |
| 003251500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (* (Not Available)) | Secondary |
| Provider Name | Domenico Coppola |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730119454 PECOS PAC ID: 3971599119 Enrollment ID: I20040422000904 |
| Provider Name | Mitchell Duterte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558345462 PECOS PAC ID: 7810988235 Enrollment ID: I20040524000123 |
| Provider Name | Rizwana Thanawala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082833 PECOS PAC ID: 6800887704 Enrollment ID: I20040524000148 |
| Provider Name | Marc Allyn Kudelko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881788768 PECOS PAC ID: 4688654239 Enrollment ID: I20040723000221 |
| Provider Name | Anthony Ditomaso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407840408 PECOS PAC ID: 7416946645 Enrollment ID: I20041013000125 |
| Provider Name | Lee S Mitchel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558342832 PECOS PAC ID: 4587625439 Enrollment ID: I20041023000073 |
| Provider Name | Francisco J Aguilo Seara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710088273 PECOS PAC ID: 4981659711 Enrollment ID: I20050315000506 |
| Provider Name | Kr Byju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649267972 PECOS PAC ID: 3476596628 Enrollment ID: I20050609000067 |
| Provider Name | Ivan E Rascon-aguilar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750357174 PECOS PAC ID: 1658390067 Enrollment ID: I20051115000740 |
| Provider Name | Ravi Kondapalli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205907771 PECOS PAC ID: 0840257796 Enrollment ID: I20070620000327 |
| Provider Name | Andrew I Tobkes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215920475 PECOS PAC ID: 4587605407 Enrollment ID: I20071030000222 |
| Provider Name | Marivic Quintinita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730381641 PECOS PAC ID: 0143309575 Enrollment ID: I20080509000243 |
| Provider Name | Tonantzin H Matheus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629245683 PECOS PAC ID: 5294807715 Enrollment ID: I20080627000431 |
| Provider Name | Charles J Loewe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184770083 PECOS PAC ID: 5597862581 Enrollment ID: I20090605000048 |
| Provider Name | John C Southerland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053305565 PECOS PAC ID: 2365595766 Enrollment ID: I20090803000520 |
| Provider Name | Mark S Dawson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457322133 PECOS PAC ID: 3678625969 Enrollment ID: I20100818001238 |
| Provider Name | Mark A Kocab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942271606 PECOS PAC ID: 4587716873 Enrollment ID: I20100826000344 |
| Provider Name | Justin R Nudell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922210582 PECOS PAC ID: 6204981509 Enrollment ID: I20100911000087 |
| Provider Name | Frank Edward Corbett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497749998 PECOS PAC ID: 7315837986 Enrollment ID: I20101013000915 |
| Provider Name | Manuel E Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356399307 PECOS PAC ID: 3173598786 Enrollment ID: I20101122000606 |
| Provider Name | Carlos Montero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518925205 PECOS PAC ID: 9032110507 Enrollment ID: I20101220000990 |
| Provider Name | Murali Krishna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518979012 PECOS PAC ID: 2567496979 Enrollment ID: I20110314000435 |
| Provider Name | Mitchell Schulman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700971017 PECOS PAC ID: 2365429545 Enrollment ID: I20110325000772 |
| Provider Name | Steven Beljic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275627697 PECOS PAC ID: 6608954300 Enrollment ID: I20110328000027 |
| Provider Name | Carly A Koelsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982900098 PECOS PAC ID: 7517141815 Enrollment ID: I20110426000379 |
| Provider Name | Raphael A Rusynyk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023047297 PECOS PAC ID: 3577739101 Enrollment ID: I20120104000222 |
| Provider Name | William F Rylander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831266089 PECOS PAC ID: 4789616202 Enrollment ID: I20120119000683 |
| Provider Name | Andrew F Ringel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457442741 PECOS PAC ID: 9032379706 Enrollment ID: I20120404000775 |
| Provider Name | Kun Jiang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295992774 PECOS PAC ID: 3971743337 Enrollment ID: I20130708000285 |
| Provider Name | Melissa Lynn Douberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942611744 PECOS PAC ID: 7719105204 Enrollment ID: I20140825002125 |
| Provider Name | Jennifer H Leigh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184886525 PECOS PAC ID: 0446470090 Enrollment ID: I20141001002500 |
| Provider Name | Serina Wisnewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598100893 PECOS PAC ID: 4688996929 Enrollment ID: I20141124000718 |
| Provider Name | Katie R Agnello |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841432705 PECOS PAC ID: 5890003032 Enrollment ID: I20151007002468 |
| Provider Name | Loren C Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982075339 PECOS PAC ID: 6406151356 Enrollment ID: I20160301002593 |
| Provider Name | Michael T Caire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770802134 PECOS PAC ID: 0446546022 Enrollment ID: I20160907002861 |
| Provider Name | Brent E Murchie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831400027 PECOS PAC ID: 9537457726 Enrollment ID: I20161003002526 |
| Provider Name | Anne M Mitchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881813731 PECOS PAC ID: 3779861760 Enrollment ID: I20161026000805 |
| Provider Name | Justin Michael Gomez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215251038 PECOS PAC ID: 1951539279 Enrollment ID: I20170627000558 |
| Provider Name | Caren Bartosz Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679872808 PECOS PAC ID: 8123243748 Enrollment ID: I20180702002689 |
| Provider Name | Jamie Ann Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497242655 PECOS PAC ID: 3375890577 Enrollment ID: I20180719000094 |
| Provider Name | Marc L Bernstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396040366 PECOS PAC ID: 1951548577 Enrollment ID: I20181211001907 |
| Provider Name | Erin S Barth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972765055 PECOS PAC ID: 2860673035 Enrollment ID: I20190620002084 |
| Provider Name | Janyll Castineira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760830731 PECOS PAC ID: 0840527172 Enrollment ID: I20190809000812 |
| Provider Name | Avantika Mishra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225371644 PECOS PAC ID: 8729316955 Enrollment ID: I20190826001389 |
| Provider Name | Hannah Marie Pleasant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780230417 PECOS PAC ID: 3779812920 Enrollment ID: I20190912002698 |
| Provider Name | Ronald Andari Sawaya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538473897 PECOS PAC ID: 7416246905 Enrollment ID: I20200103001182 |
| Provider Name | Bhavtosh Dedania |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457617656 PECOS PAC ID: 9739408170 Enrollment ID: I20200630001741 |
| Provider Name | Michael Papper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053432104 PECOS PAC ID: 6305937640 Enrollment ID: I20200717000533 |
| Provider Name | Jasmine Kerman Dukandar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700299328 PECOS PAC ID: 4688099211 Enrollment ID: I20200730000474 |
| Provider Name | Kimberly Ann Brizell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265810899 PECOS PAC ID: 8527460609 Enrollment ID: I20210712003746 |
| Provider Name | Vanessa Kuwajima |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235335076 PECOS PAC ID: 8426234931 Enrollment ID: I20210713001956 |
| Provider Name | Feriyl Bhaijee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750647988 PECOS PAC ID: 4385868843 Enrollment ID: I20210806001490 |
| Provider Name | Karolina Siniakowicz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083093280 PECOS PAC ID: 7113262445 Enrollment ID: I20210828000022 |
| Provider Name | Rebecca Nickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831857614 PECOS PAC ID: 8123419868 Enrollment ID: I20220106002119 |
| Provider Name | Joseph Obi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497117253 PECOS PAC ID: 3072993880 Enrollment ID: I20220710000028 |
| Provider Name | Delani Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114434354 PECOS PAC ID: 9234518416 Enrollment ID: I20220805000614 |
| Provider Name | Xiaoping Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437365434 PECOS PAC ID: 2466620885 Enrollment ID: I20220811001008 |
| Provider Name | Brittney Janae Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376245548 PECOS PAC ID: 6608231279 Enrollment ID: I20230504000024 |
| Provider Name | Allison Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043906936 PECOS PAC ID: 6204293673 Enrollment ID: I20230531002225 |
| Provider Name | Rachael M Hamelink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841845658 PECOS PAC ID: 7719218445 Enrollment ID: I20230622003592 |
| Provider Name | Julia S Manny |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194967745 PECOS PAC ID: 7810114618 Enrollment ID: I20230728001664 |
| Provider Name | Catherine L Pezzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912636242 PECOS PAC ID: 0042672016 Enrollment ID: I20230809000092 |
| Provider Name | Rachel Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114609161 PECOS PAC ID: 1951763473 Enrollment ID: I20230816000780 |
| Provider Name | Lori Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235467994 PECOS PAC ID: 7719166925 Enrollment ID: I20230928000629 |
| Provider Name | Christine Sill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881458255 PECOS PAC ID: 4082058458 Enrollment ID: I20240214001587 |
| Provider Name | Yanelkys Camejo Reina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396506630 PECOS PAC ID: 1052756368 Enrollment ID: I20240227000778 |
Nextgen Wellness Institute Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7035 Professional Pkwy E, Lakewood Ranch, FL 34240 Phone: 941-254-2037 Fax: 941-251-8379 | |
Acute Care Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202 Phone: 941-782-2100 | |
Florida Mobile Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7313 International Pl, Suite 80, Lakewood Ranch, FL 34240 Phone: 841-907-1190 Fax: 941-907-0315 | |
Lakewood Ranch Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8340 Lakewood Ranch Blvd, Suite 140, Lakewood Ranch, FL 34202 Phone: 941-782-2800 Fax: 941-782-2513 | |
Total Care Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11161 State Road 70 E Unit 110-848, Lakewood Ranch, FL 34202 Phone: 703-677-1035 | |
Dr. Salvatore Didomenico Dcpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7466 Edenmore Street, Lakewood Ranch, FL 34202 Phone: 727-365-4506 | |
Constance B Purser Md Pl Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8936 77th Ter E, Ste 102, Lakewood Ranch, FL 34202 Phone: 941-361-1177 Fax: 941-361-2422 |