WAGID F GUIRGIS

PORT ORANGE, FL
NPI1871780106
Entity TypeOrganization
Authorized ContactWAGID F GUIRGIS
Md
386-788-4911
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2007-10-01
Last Update Date2011-03-18
Business Address
WAGID F GUIRGIS
3953 S NOVA RD
PORT ORANGE, FL 32127-4910
Phone number: 386-788-4911
Mailing Address
WAGID F GUIRGIS
3953 S NOVA RD
PORT ORANGE, FL 32127-4910
Phone number: 386-788-4911