Organization · NPI-2

Advanced Gastro & Liver Care PA

Internal Medicine, Gastroenterology · Pinellas Park, FL

NPI number1003880279
StatusActive
Last updated in NPPESFeb 23, 2010

Details

NPI
1003880279
Entity type
Organization (NPI-2)
Legal business name
Advanced Gastro & Liver Care PA
Organization subpart
No
Enumeration date
Feb 15, 2006
Last updated
Feb 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, GastroenterologyME68156FLYes
207RI0008X Internal Medicine, HepatologyME68156FL

Practice location

6225 66th St N
Pinellas Park, FL 33781-5025

Phone 727-521-0994 · Fax 727-522-2671

Mailing address

Po Box 20267
Tampa, FL 33622-0267

Phone 727-823-2188 · Fax 727-828-0823

Authorized official

Tejunder S Glamour
President
7275210994

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine, Gastroenterology providers in Pinellas Park, FL