Organization
ADVANCED ENDOSCOPY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR HEMAIDAN M.D. (C.E.O)
(386) 763-4920
Entity
Organization
Contact information
Practice address
1690 DUNLAWTON AVE, SUITE 220, PORT ORANGE, FL 32127-8979
(386) 763-4920
(386) 763-4939
Mailing address
1690 DUNLAWTON AVE, SUITE 220, PORT ORANGE, FL 32127-8979
(386) 763-4920
(386) 763-4939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0078370
FL
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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