| Innovative Gastroenterology, Inc | |
|
6210 Scott St Suite 216 Punta Gorda FL 33950-3901 | |
| (941) 378-3871 | |
| Not Available |
| Full Name | Innovative Gastroenterology, Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6210 Scott St, Punta Gorda, Florida |
| Authorized Official Name and Position | Kosondra Grant (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 7704851447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Gastroenterology, Inc 6210 Scott St Suite 216 Punta Gorda FL 33950-3901 Ph: (941) 378-3871 | Innovative Gastroenterology, Inc 6210 Scott St Suite 216 Punta Gorda FL 33950-3901 Ph: (941) 378-3871 |
| NPI Number | 1790233401 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790233401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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