Ahp of Palm Coast LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

AHP OF PALM COAST LLC

Practice address

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701-6823

Phone

(407) 830-8661

NPI assigned

Apr 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Wachowiak

Title

Manager

Phone

(770) 945-5330

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1225202104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAITLAND AVE",
            "address_2": "STE 1100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016823",
            "telephone_number": "407-830-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHP OF PALM COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "WACHOWIAK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-945-5330"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Agostini, PA-C
• Dennis Robert Ahl, DMD
• Aneesa Batool Ahmad, M.D.,PA
• Shafiuddin Ahmed, MD
• Ahp of Altamonte Springs LLC
• Dominic Anthony Aiello, MD
• Jamie Aitken, CF-SLP
• Mohammed Akib, RBT
• Andreina Alarcon, D.D.S
• Abigail Marie Albarran

• Anesthesiology Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.