| |
2343 Aaron St Port Charlotte FL 33952-5305 | |
(941) 473-8881 | |
(941) 475-0801 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 2343 Aaron St, Port Charlotte, Florida |
Authorized Official Name and Position | Anthony Ditomaso (OWNER) |
Authorized Official Contact | 9414738881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2343 Aaron St Port Charlotte FL 33952-5305 Ph: (941) 473-8881 | 2343 Aaron St Port Charlotte FL 33952-5305 Ph: (941) 473-8881 |
NPI Number | 1134524374 |
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Provider Enumeration Date | 10/30/2014 |
Last Update Date | 10/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134524374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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