| Advanced Care Gastroenterology Associates | |
|
15303 Amberly Dr Ste A Tampa FL 33647-2308 | |
| (813) 751-9727 | |
| (813) 441-7373 |
| Full Name | Advanced Care Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 15303 Amberly Dr Ste A, Tampa, Florida |
| Authorized Official Name and Position | Sobia Ali (DOCTOR) |
| Authorized Official Contact | 8475250020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care Gastroenterology Associates 15303 Amberly Dr Ste A Tampa FL 33647-2308 Ph: (813) 751-9727 | Advanced Care Gastroenterology Associates 15303 Amberly Dr Ste A Tampa FL 33647-2308 Ph: (813) 751-9727 |
| NPI Number | 1831565688 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2062712433 |
|---|---|
| Medicare Enrollment ID | O20151208001655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831565688 | NPI | - | NPPES |
| 1417166422 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME106694 (Florida) | Primary |
| Provider Name | Hung-wei Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871628529 PECOS PAC ID: 9234225285 Enrollment ID: I20071022000658 |
| Provider Name | Sobia Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417166422 PECOS PAC ID: 1951455443 Enrollment ID: I20110922000545 |
| Provider Name | Lydia Phan Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023511151 PECOS PAC ID: 7517221583 Enrollment ID: I20180430001076 |
| Provider Name | Kim Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407409873 PECOS PAC ID: 8123455482 Enrollment ID: I20200226000711 |
| Provider Name | Soraya Ann Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598495301 PECOS PAC ID: 3870976301 Enrollment ID: I20220817000215 |
| Provider Name | Dalal Ahmad Kanaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831872639 PECOS PAC ID: 1759739022 Enrollment ID: I20231127002614 |
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