| 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 | Beatrice Bratu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275563991 PECOS PAC ID: 8325933005 Enrollment ID: I20040220000431 |
| 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 | Carly M Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457676207 PECOS PAC ID: 2365610078 Enrollment ID: I20110725000592 |
| Provider Name | Harsh Vardhan Duphare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598775611 PECOS PAC ID: 1456398841 Enrollment ID: I20130919000417 |
| Provider Name | Amer Khatib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861890790 PECOS PAC ID: 0446574164 Enrollment ID: I20150128000758 |
| Provider Name | Khawla Amawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942690748 PECOS PAC ID: 1355660242 Enrollment ID: I20150427000930 |
| 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 | Brian K Hudes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063488088 PECOS PAC ID: 4789618240 Enrollment ID: I20181119000683 |
| Provider Name | Holly Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023598588 PECOS PAC ID: 8820333909 Enrollment ID: I20181218001041 |
| Provider Name | Arsheema Abdurahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745060 PECOS PAC ID: 3173868973 Enrollment ID: I20181226001321 |
| Provider Name | Jessica A Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003251 PECOS PAC ID: 9931510179 Enrollment ID: I20201119002179 |
| Provider Name | Zachary S Neubert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275806721 PECOS PAC ID: 4880824515 Enrollment ID: I20230321002660 |
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 | |
Adventhealth Total Health Management /adventhealth Primary Care Plus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5821 S. Williamson Blvd, Suite 205, Port Orange, FL 32128 Phone: 407-200-2300 | |
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 | |
Conviva Care Center 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 |