Healthcare Provider Details

I. General information

NPI: 1629377635
Provider Name (Legal Business Name): DIGESTIVE DISEASE ASSOCIATES OF CENTRAL FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 09/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 ASHLEY OAKS CIR SUITE 102
WESLEY CHAPEL FL
33544-6415
US

IV. Provider business mailing address

2050 ASHLEY OAKS CIR SUITE 102
WESLEY CHAPEL FL
33544-6415
US

V. Phone/Fax

Practice location:
  • Phone: 813-994-4800
  • Fax: 813-994-4888
Mailing address:
  • Phone: 813-994-4800
  • Fax: 813-994-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME99322
License Number StateFL

VIII. Authorized Official

Name: SAEED AHMED
Title or Position: OWNER
Credential: MD
Phone: 813-994-4800