# EPSALTOS HEALTHCARE,PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinic Time Internal Medicine and Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174975106
- **Authorized official:** DR. WAEL FATHY GAYD FALTAS M.D (PRESIDENT)
- **Authorized official phone:** (908) 209-4795

## Contact information

- **Practice address:** 7657 CITA LN UNIT 101, NEW PORT RICHEY, FL 34653-6221
- **Practice address phone:** (908) 209-4795
- **Mailing address:** 7657 CITA LN UNIT 101, NEW PORT RICHEY, FL 34653-6221
- **Mailing address phone:** (727) 233-1118
- **Mailing address fax:** (727) 372-8338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2016
- **Last updated:** 10/25/2020