| Advanced Gastroenterology & Surgery Associates | |
|
8110 County Road 44 Leg A Leesburg FL 34788-3704 | |
| (352) 323-8868 | |
| (352) 323-8865 |
| Full Name | Advanced Gastroenterology & Surgery Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 8110 County Road 44 Leg A, Leesburg, Florida |
| Authorized Official Name and Position | Lily C Tran (PHYSICIAN) |
| Authorized Official Contact | 3523238868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology & Surgery Associates 8110 County Road 44 Leg A Leesburg FL 34788-3704 Ph: (352) 323-8868 | Advanced Gastroenterology & Surgery Associates 8110 County Road 44 Leg A Leesburg FL 34788-3704 Ph: (352) 323-8868 |
| NPI Number | 1215974498 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1850294612 |
|---|---|
| Medicare Enrollment ID | O20040129000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Florida) | Primary |
| Provider Name | Jennifer Hart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447244058 PECOS PAC ID: 3971596941 Enrollment ID: I20040406000380 |
| Provider Name | Laura A Brannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699760884 PECOS PAC ID: 1052393717 Enrollment ID: I20040605000044 |
| Provider Name | Brenton G Fulks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134181175 PECOS PAC ID: 2264405240 Enrollment ID: I20040817001329 |
| Provider Name | Josue Negron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700859337 PECOS PAC ID: 9436125440 Enrollment ID: I20040909000901 |
| Provider Name | Salah Antar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487604930 PECOS PAC ID: 7911960364 Enrollment ID: I20041108000451 |
| Provider Name | Dan E Nesmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982761615 PECOS PAC ID: 5294773966 Enrollment ID: I20050422000196 |
| Provider Name | Lily C Tran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366494874 PECOS PAC ID: 9537190160 Enrollment ID: I20050824000158 |
| Provider Name | Maohao Han |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467480145 PECOS PAC ID: 9830102417 Enrollment ID: I20060727000041 |
| Provider Name | Heather B Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811152531 PECOS PAC ID: 3274691522 Enrollment ID: I20090318000631 |
| Provider Name | Robert M Fechtenburg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871519652 PECOS PAC ID: 7113953035 Enrollment ID: I20090421000213 |
| Provider Name | Celia A Quinnonez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457347981 PECOS PAC ID: 2860466018 Enrollment ID: I20100204000360 |
| Provider Name | Justin Burney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851613335 PECOS PAC ID: 0244366938 Enrollment ID: I20100406000235 |
| Provider Name | Eloisa G Santillan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407801418 PECOS PAC ID: 8022140730 Enrollment ID: I20100715000726 |
| Provider Name | Matthew J Hina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730400045 PECOS PAC ID: 1355465527 Enrollment ID: I20100825000995 |
| Provider Name | Garth O George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760453286 PECOS PAC ID: 9234325408 Enrollment ID: I20111117000361 |
| Provider Name | Brenda K Moody |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134255748 PECOS PAC ID: 9638156839 Enrollment ID: I20120829000263 |
| Provider Name | Kate E Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629415179 PECOS PAC ID: 4486898400 Enrollment ID: I20130912000804 |
| Provider Name | Linda G Pinzone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265422372 PECOS PAC ID: 9133117955 Enrollment ID: I20150202001257 |
| Provider Name | Leslie Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194272435 PECOS PAC ID: 4486935277 Enrollment ID: I20170301000074 |
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