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Organization

EPSALTOS HEALTHCARE,PA

Active
Other names
Clinic Time Internal Medicine and Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAEL FATHY GAYD FALTAS M.D (PRESIDENT)
(908) 209-4795
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME1111714
IM
GU
Enumeration date
07/01/2016
Last updated
10/25/2020
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