Organization
PRIME HEALTH OF CENTRAL FLORIDA
Active
Other names
ADVANCED PEDIATRIC GASTROENTEROLOGY SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN AHMAD MD (EXECUTIVE DIRECTOR)
(321) 274-7519
Entity
Organization
Contact information
Practice address
517 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 256-4031
(386) 256-7151
Mailing address
608 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
(386) 271-2273
(386) 271-2274
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
12/07/2022
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