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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