| Advanced Gastroenterology Affiliates Pa | |
|
7448 Docs Grove Cir Suite 200 Orlando FL 32819-8010 | |
| (407) 352-1303 | |
| (407) 352-3833 |
| Full Name | Advanced Gastroenterology Affiliates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7448 Docs Grove Cir, Orlando, Florida |
| Authorized Official Name and Position | Mohammed Naeem Moon (PRESIDENT) |
| Authorized Official Contact | 4073521303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Affiliates Pa 7448 Docs Grove Cir Suite 200 Orlando FL 32819-8010 Ph: (407) 352-1303 | Advanced Gastroenterology Affiliates Pa 7448 Docs Grove Cir Suite 200 Orlando FL 32819-8010 Ph: (407) 352-1303 |
| NPI Number | 1376572644 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/30/2010 |
| Medicare PECOS PAC ID | 4880723014 |
|---|---|
| Medicare Enrollment ID | O20100527000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376572644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME72852 (Florida) | Primary |
| Provider Name | Mohammed Moon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578509329 PECOS PAC ID: 7315076544 Enrollment ID: I20100611000070 |
| Provider Name | Nilofar J Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861585648 PECOS PAC ID: 7719111400 Enrollment ID: I20131011001549 |
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