# ATLANTIC CARDIOLOGY & MEDICAL SPECIALISTS, PA

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

## Provider details

- **NPI number:** 1346524337
- **Authorized official:** DR. AHMAD SHAMSIN M.D. (PRESIDENT)
- **Authorized official phone:** (386) 767-9585

## Contact information

- **Practice address:** 731 DUNLAWTON AVE, SUITES 101 & 102, PORT ORANGE, FL 32127-4236
- **Practice address phone:** (386) 767-9585
- **Practice address fax:** (386) 767-9769
- **Mailing address:** 731 DUNLAWTON AVE, SUITES 101 & 102, PORT ORANGE, FL 32127-4236
- **Mailing address phone:** (386) 767-9585
- **Mailing address fax:** (386) 767-9769

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2011
- **Last updated:** 08/02/2013