| Advanced Family Practice And Advanced Medical Center Gastroenterology | |
|
1690 Dunlawton Ave Ste 120 Port Orange FL 32127-8980 | |
| (386) 271-2273 | |
| (386) 271-2274 |
| Full Name | Advanced Family Practice And Advanced Medical Center Gastroenterology |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Dunlawton Ave Ste 120, Port Orange, Florida |
| Authorized Official Name and Position | Ammar Hemaidan (OWNER) |
| Authorized Official Contact | 3862712273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Practice And Advanced Medical Center Gastroenterology 1690 Dunlawton Ave Ste 120 Port Orange FL 32127-8980 Ph: (386) 271-2273 | Advanced Family Practice And Advanced Medical Center Gastroenterology 1690 Dunlawton Ave Ste 120 Port Orange FL 32127-8980 Ph: (386) 271-2273 |
| NPI Number | 1427498724 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 1759517568 |
|---|---|
| Medicare Enrollment ID | O20131127001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427498724 | NPI | - | NPPES |
| Provider Name | Scott T Gilroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578622965 PECOS PAC ID: 8820034655 Enrollment ID: I20050701000673 |
| Provider Name | Hassan Zulfiqar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487684171 PECOS PAC ID: 2163317835 Enrollment ID: I20070808000374 |
| Provider Name | Ammar Hemaidan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033149752 PECOS PAC ID: 6709771470 Enrollment ID: I20070808000406 |
| Provider Name | Saud El-sayed Suleiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285664912 PECOS PAC ID: 4789772419 Enrollment ID: I20071114000189 |
| Provider Name | Rehana M Siddiqui |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912964040 PECOS PAC ID: 1456409523 Enrollment ID: I20090429000070 |
| Provider Name | Amer Khatib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861890790 PECOS PAC ID: 0446574164 Enrollment ID: I20150128000758 |
| Provider Name | Osman Zaki Ahmad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467719492 PECOS PAC ID: 9436448362 Enrollment ID: I20180711003663 |
| Provider Name | Amber Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790266013 PECOS PAC ID: 6002160470 Enrollment ID: I20181121002033 |
| Provider Name | Arsheema Abdurahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745060 PECOS PAC ID: 3173868973 Enrollment ID: I20181226001321 |
| Provider Name | Jeannette R Derita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528666575 PECOS PAC ID: 2668883414 Enrollment ID: I20201130001201 |
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