MEDICARE: DIGESTIVE AND LIVER HEALTH SPECIALISTS PA

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
1	207RG0100X	Gastroenterology Physician	ME85878	FL

General Provider Information

NPI Number	:	1942251152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGESTIVE AND LIVER HEALTH SPECIALISTS PA

Provider Business Mailing Address
First Line	:	7436 TRANSOM CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5870
Country	:	US
Telephone Number	:	813-451-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 W SWANN AVE
Second Line	:	SUITE 600
City	:	TAMPA
State	:	FL
Zip	:	33609-4039
Country	:	US
Telephone Number	:	813-649-8733
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YASSER ALI SALOUM
Credential	:	M.D.
Telephone Number	:	813-649-8733

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/21/2022

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