CENTER FOR DIGESTIVE DISEASES PA
Osteopathic Medicine at Pasadena Ave, Saint Petersburg, FL

License number
Florida ME48637
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: MS. KATHY F JACKSON
Title: SCHEDULE COORNIDATOR
Phone: (727) 384-2016
Address
Address 2
1609 Pasadena Ave S STE 3M, Saint Petersburg, FL 33707
PO Box 20267, Tampa, FL 33622
National Provider ID: 1619900248
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTER FOR DIGESTIVE DISEASES, PA

1609 Pasadena Ave S SUITE 3M, Saint Petersburg, FL 33707

Status:
Inactive
Industry:
Medical Doctor's Office, Gastroenterology, Colon Care, ...
Doing business as:
Center for Digestive Diseases
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Feb 1, 1980
Inactive since:
Sep 28, 2012
Phone:
(727) 384-2016 (Phone)
Description:
There are 2 doctors at this site. Surgery is not performed at this site. Average patient volume is 60 patients per day.
State ID:
655156
Business type:
Florida Profit Corporation
Managers:
Peter M. Pardoll (Partner),Sheldon Sheinert (Partner, Medical Director),Sharilyn Rose Chappell (Cardiology),...
Agent:
Sheldon Scheinert,1609 Pasadena Ave S SUITE 3M, Saint Petersburg, FL 33707 (Physical)
EIN:
59-1969190

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