Organization Active NPI

Digestive and Liver Disease Institute of Florida, LLC

  • Gastroenterology Physician
  • Kissimmee, FL
National Provider Identifier
1194375378
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE AND LIVER DISEASE INSTITUTE OF FLORIDA, LLC
Practice address
505 W Oak St Ste 202
Kissimmee, FL 34741-4986
Phone
(407) 846-6331
Fax
(407) 846-0137
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Basher Atiquzzaman, MD
Title
President
Phone
(407) 415-2481

Specialties & licenses 1

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

Addresses

Primary practice location

505 W Oak St Ste 202
Kissimmee, FL 34741-4986

Mailing address

505 W Oak St Ste 202
Kissimmee, FL 34741-4986
Phone (407) 846-6331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1194375378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W OAK ST STE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-846-6331",
            "fax_number": "407-846-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OAK ST STE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-846-6331",
            "fax_number": "407-846-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE AND LIVER DISEASE INSTITUTE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "ATIQUZZAMAN",
        "authorized_official_first_name": "BASHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-415-2481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.