Provider Demographics
NPI:1003160797
Name:FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP
Entity Type:Organization
Organization Name:FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP
Other - Org Name:GULF COMPREHENSIVE GASTROENTEROLOGY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VITO
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DITOMASO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-473-8881
Mailing Address - Street 1:2343 AARON ST
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5305
Mailing Address - Country:US
Mailing Address - Phone:941-473-8881
Mailing Address - Fax:
Practice Address - Street 1:2061 ENGLEWOOD RD
Practice Address - Street 2:SUITE 4
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-1749
Practice Address - Country:US
Practice Address - Phone:941-473-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty