Provider Demographics
NPI:1588010961
Name:DIGESTIVE HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:DIGESTIVE HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-840-1001
Mailing Address - Street 1:2840 SE 3RD COURT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1481
Mailing Address - Country:US
Mailing Address - Phone:352-840-1001
Mailing Address - Fax:352-840-1002
Practice Address - Street 1:2840 SE 3RD COURT
Practice Address - Street 2:SUITE 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1481
Practice Address - Country:US
Practice Address - Phone:352-840-1001
Practice Address - Fax:352-840-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF0316477363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL..1366600Medicaid
FLGL343AMedicare PIN