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General NPI Number Information
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NPI Number | 1922931609
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Entity Type | Organization
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Legal Business Name | WELLINGTON DIGETIVE INSTITUTE
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1447 MEDICAL PARK BLVD STE 405
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City | WELLINGTON
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State | FL
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Zip | 33414-3183
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Country | US
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Telephone | 561-767-8342
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Fax | 866-622-3008
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Provider Business Mailing Address
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Address Line | 1447 MEDICAL PARK BLVD STE 405
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City | WELLINGTON
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State | FL
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Zip | 33414-3183
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Country | US
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Telephone | 561-767-8342
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Fax | 866-622-3008
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. SRINIVAS KAZA
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Credential | MD
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Telephone | 561-767-8342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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