Organization
ATLANTIC MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMMAR HEMAIDAN M.D. (REPRESENTATIVE OF MEMBER)
(386) 763-4920
Entity
Organization
Contact information
Practice address
1690 DUNLAWTON AVE STE 210, PORT ORANGE, FL 32127-8980
(386) 763-4920
(386) 763-4939
Mailing address
1690 DUNLAWTON AVE STE 210, PORT ORANGE, FL 32127-8980
(386) 763-4920
(386) 763-4939
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
01/31/2012
Last updated
07/31/2012
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