| Advanced Gastroenterology Health Care Centers | |
|
1690 Dunlawton Ave Suite 210 Port Orange FL 32127-8980 | |
| (386) 763-4920 | |
| (386) 763-4939 |
| Full Name | Advanced Gastroenterology Health Care Centers |
|---|---|
| Speciality | Internal Medicine |
| Location | 1690 Dunlawton Ave, Port Orange, Florida |
| Authorized Official Name and Position | Saud Elsayed Suleiman (PHYSICIAN PARTNERS) |
| Authorized Official Contact | 3867634920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Health Care Centers 1690 Dunlawton Ave Suite 210 Port Orange FL 32127-8980 Ph: (386) 763-4920 | Advanced Gastroenterology Health Care Centers 1690 Dunlawton Ave Suite 210 Port Orange FL 32127-8980 Ph: (386) 763-4920 |
| NPI Number | 1790790277 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/01/2012 |
| Medicare PECOS PAC ID | 9830084508 |
|---|---|
| Medicare Enrollment ID | O20040220000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790790277 | NPI | - | NPPES |
| 267121200 | Medicaid | FL | |
| 45571 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ammar Hemaidan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033149752 PECOS PAC ID: 6709771470 Enrollment ID: I20070808000406 |
| Provider Name | Jennifer L Von Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864482 PECOS PAC ID: 6800039512 Enrollment ID: I20160106000518 |
| Provider Name | Zachary Neubert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275806721 PECOS PAC ID: 4880824515 Enrollment ID: I20230321002660 |
| Provider Name | Rulz T Cantave |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376962878 PECOS PAC ID: 9830594712 Enrollment ID: I20240606003198 |
| Provider Name | Jennifer D Brinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861236424 PECOS PAC ID: 3274072988 Enrollment ID: I20240826004132 |
| Provider Name | Binash B Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225868904 PECOS PAC ID: 5294276309 Enrollment ID: I20240917001069 |
| Provider Name | Amanda Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730902883 PECOS PAC ID: 8527593607 Enrollment ID: I20241126002891 |
| Provider Name | Eyad M Swaity |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548095763 PECOS PAC ID: 5799212700 Enrollment ID: I20250102001136 |
East Volusia Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 S Nova Rd, Port Orange, FL 32127 Phone: 386-322-0811 Fax: 386-761-5449 | |
Daytona Plastic Surgery, P.l. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4606 S Clyde Morris Blvd, Suite 1 L, Port Orange, FL 32129 Phone: 386-756-9009 Fax: 386-756-3006 | |
Cass's Mobile Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3956 Sunset Cove Dr, Port Orange, FL 32129 Phone: 386-871-3855 | |
Kirsten Kim Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Dunlawton Ave Ste 311, Port Orange, FL 32127 Phone: 386-310-4807 Fax: 386-310-7473 | |
El Kebeer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-492-0100 | |
Metcare Of Florida, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129 Phone: 305-500-2114 Fax: 305-370-6024 | |
Elizabeth Daquila Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 851 Dunlawton Ave Ste 102, Port Orange, FL 32127 Phone: 386-402-7827 Fax: 386-410-5457 |