Organization
ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS
Active
Organization
ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMMAR HEMAIDAN MD (MEDICAL DIRECTOR)
(386) 763-4920
Entity
Organization
Contact information
Practice address
1690 DUNLAWTON AVE, SUITE 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
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267121200
—
FL
01
—
45571
BCBS
FL
Enumeration date
07/31/2006
Last updated
10/13/2025
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