Active NPI
Lake Okeechobee Digestive Disease Center PA
- Gastroenterology Physician
- Okeechobee, FL
National Provider Identifier
1255583787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Neurology Physician
- Miami, FL
- NPI 1881950905
-
- Neurological Surgery Physician
- Fort Pierce, FL
- NPI 1871770263
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
- Zafar U Kureshi, MD
- Ladia & Ladia MD's PA
- Ladia & Ladia MDS PA (Lilia Dizon Ladia MD)
- Felipe P Ladia, MD
- Lake Macaco Inpatient Services, LLC
- Lamb of God Ministries Incorporated (Lamb of God Recovery Centers, Inc.)
- Rodh Joseph Lamothe, MSW
- Teresa Sophia Larra-Ramirez, LPN
- Jennifer Lea Laskey, DMD
- Mark Cornelius Leath, PHARMD
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.