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ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS NPI 1790790277


NPI Information

NPI: 1790790277
Provider Name: ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1690 DUNLAWTON AVE
SUITE 210
PORT ORANGE, FL
ZIP 32127
Phone: (386) 763-4920
Get Directions

ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS is a gastroenterology internal medicine in Port Orange, FL. The provider is 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. ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS NPI is 1790790277. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1690 DUNLAWTON AVE
SUITE 210
PORT ORANGE, FL
ZIP 32127-980
Phone: (386) 763-4920
Fax: (386) 763-4939

The provider's authorized official is Saud Elsayed Suleiman .
The authorized official title is Physician Partners and has the following contact phone number (386) 763-4920.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 11/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1267121200MEDICAIDFLORIDA
245571OTHERFLORIDABCBS
345571MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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