Organization Active NPI

Lake Okeechobee Digestive Disease Center PA

  • Gastroenterology Physician
  • Okeechobee, FL
National Provider Identifier
1255583787
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LAKE OKEECHOBEE DIGESTIVE DISEASE CENTER PA
Practice address
204 SE Park St
Okeechobee, FL 34972-2967
Phone
(863) 357-8222
NPI assigned
Oct 15, 2008
Last updated
Sep 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
David Duncan
Title
Biller
Phone
(954) 370-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

204 SE Park St
Okeechobee, FL 34972-2967

Mailing address

9715 W Broward Blvd
# 315
Plantation, FL 33324-2351
Phone (863) 357-8222

National Provider Directory

National Provider Directory

Locations

3000 N University Dr
Ste R
Coral Springs, FL 33065
Phone (954) 753-0300

1951 SW 172nd Ave
Ste 200
Miramar, FL 33029
Phone (305) 330-6692

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1255583787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 W BROWARD BLVD",
            "address_2": "# 315",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242351",
            "telephone_number": "863-357-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SE PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722967",
            "telephone_number": "863-357-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OKEECHOBEE DIGESTIVE DISEASE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "954-370-1053"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.