Central Florida Gastroenterology P a

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0060089 Issued in FL

Legal business name

CENTRAL FLORIDA GASTROENTEROLOGY P A

Practice address

1053 Medical Center Dr
Suite 251
Orange City, FL 32763-8260

Phone

(386) 775-4720

Fax

(386) 775-6343

NPI assigned

Jul 11, 2006

Last updated

Apr 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Purna Parikh

Title

Trustee/Secratery

Phone

(386) 775-4720

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1679507925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR",
            "address_2": "SUITE # 251",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638260",
            "telephone_number": "386-775-4720",
            "fax_number": "386-775-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR",
            "address_2": "SUITE 251",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638260",
            "telephone_number": "386-775-4720",
            "fax_number": "386-775-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA GASTROENTEROLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "PURNA",
        "authorized_official_title_or_position": "TRUSTEE/SECRATERY",
        "authorized_official_telephone_number": "386-775-4720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0060089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053601600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.