| Imacs, Llc | |
|
1690 Dunlawton Ave Ste 120 Port Orange FL 32127-8980 | |
| (386) 271-2273 | |
| (386) 271-2274 |
| Full Name | Imacs, Llc |
|---|---|
| Speciality | Internal 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 |
|---|---|
| Imacs, Llc 1690 Dunlawton Av Suite 120 Port Orange FL 32127-8980 Ph: (386) 271-2273 | Imacs, Llc 1690 Dunlawton Ave Ste 120 Port Orange FL 32127-8980 Ph: (386) 271-2273 |
| NPI Number | 1669779906 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 03/16/2018 |
| Medicare PECOS PAC ID | 1153599121 |
|---|---|
| Medicare Enrollment ID | O20110718000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669779906 | NPI | - | NPPES |
| 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 | Amer Khatib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861890790 PECOS PAC ID: 0446574164 Enrollment ID: I20150128000758 |
| Provider Name | Brian K Hudes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063488088 PECOS PAC ID: 4789618240 Enrollment ID: I20181119000683 |
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