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1760872527
ADVANCED GASTROENTEROLOGY
PORT ORANGE, FL
NPI
1760872527
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Entity Type
Organization
Authorized Contact
AMMAR HUMAIDEN
C Eo
386-763-4939
Organization Subpart ?
No
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
ADVANCED GASTROENTEROLOGY
1690 DUNLAWTON AVE
PORT ORANGE, FL 32127-8979
Phone number: 386-763-4920
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Mailing Address
ADVANCED GASTROENTEROLOGY
1690 DUNLAWTON AVE.
PORT ORANGE, FL 32127-8979
Phone number:
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