# APOLLO MEDICAL GROUP OF PENNSYLVANIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265256432
- **Authorized official:** AYMAN ELFAR MD (MANAGING PARTNER)
- **Authorized official phone:** (941) 725-1198

## Contact information

- **Practice address:** 2851 BAGLYOS CIR STE 100, BETHLEHEM, PA 18020-8038
- **Practice address phone:** (941) 360-1566
- **Mailing address:** PO BOX 2668, SPRINGFIELD, IL 62708-2668
- **Mailing address phone:** (941) 725-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 01/02/2025