FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA
Osteopathic Medicine at Silver Palm Ave, Melbourne, FL

License number
Florida ME79573
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: LIZ MAZARA
Title: BILLING DEPARTMENT
Phone: (321) 752-5210
Address
Address
25 Silver Palm Ave, Melbourne, FL 32901
National Provider ID: 1215154661
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Florida Digestive and Liver Specialists, PA

Melbourne, FL

Registration:
Jul 23, 2001
Addresses:
PO Box 1988, Melbourne, FL 32902
25 Silver Palm Ave, Melbourne, FL 32901
State ID:
P01000071953
Business type:
Domestic for Profit Corporation
Directors:
Maged Farid (Director),Shireen Gadallah (Director)

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