Organization Active NPI

Florida Digestive Health Specialists LLP

  • Gastroenterology Physician
  • Englewood, FL
National Provider Identifier
1104257526
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
FLORIDA DIGESTIVE HEALTH SPECIALISTS LLP
Practice address
2061 Englewood Rd
Suite 4
Englewood, FL 34223-1749
Phone
(941) 473-8881
Fax
(941) 475-0801
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vito Anthony Ditomaso, MD
Title
Partner
Phone
(941) 473-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2061 Englewood Rd
Suite 4
Englewood, FL 34223-1749

Mailing address

2061 Englewood Rd
Suite 4
Englewood, FL 34223-1749
Phone (941) 473-8881

Other identifiers 1

IdentifierTypeStateIssuer
EB572AOtherFLMEDICARE PTAN

Other names 1

  • Gulf Comprehensive Gastroenterology LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gastroenterology Center of Tampa Bay LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1104257526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 ENGLEWOOD RD",
            "address_2": "SUITE 4",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231749",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 ENGLEWOOD RD",
            "address_2": "SUITE 4",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231749",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DIGESTIVE HEALTH SPECIALISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "DITOMASO",
        "authorized_official_first_name": "VITO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "941-473-8881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EB572A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Comprehensive Gastroenterology LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.