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FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA
NPI 1215154661
Internal Medicine - Gastroenterology in Melbourne, FL

Active since April 19, 2007CLIA 10D1105837 · Waiver
25 SILVER PALM AVE, MELBOURNE, FL 32901(321) 725-4150(321) 733-1335 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Florida Digestive And Liver Specialists Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA DIGESTIVE AND LIVER SPECIALISTS PA (NPI 1215154661) is a healthcare organization registered as a gastroenterology in Melbourne, Florida and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Liz Mazara, Billing Department, as its authorized official.

NPPES Registry Identity

NPI1215154661
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameFLORIDA DIGESTIVE AND LIVER SPECIALISTS PA
Location Address25 SILVER PALM AVEMelbourne, FL 32901-3177
Mailing Address25 Silver Palm AveMelbourne, FL 32901-3177 · (321) 725-4150 · Fax (321) 733-1335
Phone(321) 725-4150
Fax(321) 733-1335
Organization SubpartNo
Authorized OfficialLiz MazaraBilling Department · (321) 752-5210
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 15, 2010
✔ NPI 1215154661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME79573
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
25 SILVER PALM AVE, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF68489

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1105837

Florida Digestive And Liver Specialist · Melbourne, FL
Active · expires Feb 25, 2028
CLIA Number10D1105837
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorShireen Gadallah
Laboratory Phone(321) 725-4150
Laboratory LocationFlorida Digestive And Liver Specialist25 E Silver Palm Ave Ste B, Melbourne, FL 32901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SAMANTHA NICOLE ROBERTSON A.R.N.P.
Nurse Practitioner (Family)
25 SILVER PALM AVE
MELBOURNE, FL 32901
Brevard County (321) 752-5210
SHIREEN F GADALLAH M.D.
Internal Medicine (Gastroenterology)
25 SILVER PALM AVE, SUITE B
MELBOURNE, FL 32901
Brevard County (321) 725-4150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Digestive And Liver Specialists PA's NPI number?

The NPI number for Florida Digestive And Liver Specialists PA is 1215154661. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Florida Digestive And Liver Specialists PA located?

Florida Digestive And Liver Specialists PA is located at 25 Silver Palm Ave, Melbourne, FL 32901. The listed phone number is (321) 725-4150.

What is Florida Digestive And Liver Specialists PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Florida Digestive And Liver Specialists PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1105837) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Digestive And Liver Specialists PA was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.