Organization
AMIR BACCHUS, M. D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR BACCHUS M.D. (SOLE OWNER)
(407) 316-3130
Entity
Organization
Contact information
Practice address
1701 N GREEN VALLEY PKWY, HENDERSON, NV 89074-5885
(407) 316-3130
(407) 316-3001
Mailing address
801 N MAGNOLIA AVE, SUITE 405, ORLANDO, FL 32803-3851
(407) 316-3130
(407) 316-3001
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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