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NPI Code Detail

MEDICARE: DIGESTIVE DISEASE CONSULTANTS

MEDICARE: DIGESTIVE DISEASE CONSULTANTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2207RG0100XGastroenterology Physician

General Provider Information

NPI Number : 1710251921
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGESTIVE DISEASE CONSULTANTS
Provider Business Mailing Address
First Line : 2151 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4416
Country : US
Telephone Number : 904-388-8686
Fax Number : 904-387-2659
Provider Business Practice Location Address
First Line : 2151 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4416
Country : US
Telephone Number : 904-388-8686
Fax Number : 904-387-2659
Authorized Official
Title or Position : PRESIDENT
Name : DR. ABDI ABBASSI
Credential : MD
Telephone Number : 904-388-8686
Provider Enumeration Date : 03/06/2012
Last Update Date : 08/30/2022

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Directions to “DIGESTIVE DISEASE CONSULTANTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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