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General NPI Number Information
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NPI Number | 1083742357
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Entity Type | Organization
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Legal Business Name | DIGESTIVE AND LIVER CENTER OF FL, LLC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 100 N DEAN RD SUITE 101
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City | ORLANDO
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State | FL
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Zip | 32825
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Country | US
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Telephone | 407-384-7388
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Fax | 407-384-7391
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Provider Business Mailing Address
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Address Line | 100 N DEAN RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32825-3710
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Country | US
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Telephone | 407-384-7388
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Fax | 407-384-7391
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Authorized Official
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Title or Position | PRESIDENT
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Name | SRINIVAS SEELA
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Credential | MD
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Telephone | 407-384-7388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME93786 & ME93637
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License Number State | FL
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