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General NPI Number Information
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NPI Number | 1942277181
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Entity Type | Organization
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Legal Business Name | DIGESTIVE DISEASE AND CANCER INSTITUTE PA
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 34653 US 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-2152
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Country | US
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Telephone | 727-771-6135
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Fax | 727-771-2514
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Provider Business Mailing Address
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Address Line | 34653 US 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684
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Country | US
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Telephone | 727-771-6135
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Fax | 727-771-2514
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANOOP GOYAL
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Credential | M.D.
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Telephone | 727-771-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME72929
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME72984
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License Number State | FL
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