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General NPI Number Information
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NPI Number | 1760877070
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIGESTIVE MEDICINE PLLC
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 7887 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33156-7427
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Country | US
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Telephone | 305-825-6729
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Fax | 305-273-6520
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Provider Business Mailing Address
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Address Line | 7887 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33156-7427
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Country | US
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Telephone | 305-825-6729
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Fax | 305-273-6520
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Authorized Official
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Title or Position | PHYSICIAN PARTNER
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Name | VICTOR M PINA
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Credential | MD
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Telephone | 305-825-6729
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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 |
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License Number State |
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