Provider Demographics
NPI:1841383445
Name:APRILL GASTROENTEROLOGY LLC
Entity Type:Organization
Organization Name:APRILL GASTROENTEROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNDER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:APRILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-366-7282
Mailing Address - Street 1:2750 BAHIA VISTA
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-366-7282
Mailing Address - Fax:941-365-3717
Practice Address - Street 1:2750 BAHIA VISTA
Practice Address - Street 2:SUITE 250
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-366-7282
Practice Address - Fax:941-365-3717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 34286207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255499200Medicaid
FLME 34186OtherFLORIDA STATE LICENSE
FL79454YMedicare ID - Type Unspecified
FL255499200Medicaid