NPIMap

Organization Active NPI

Advanced Endoscopy Centers LLC

  • Specialist
  • Port Orange, FL
National Provider Identifier
1376816876
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0078370 Issued in FL
Legal business name
ADVANCED ENDOSCOPY CENTERS LLC
Practice address
1690 Dunlawton Ave
Suite 220
Port Orange, FL 32127-8979
Phone
(386) 763-4920
Fax
(386) 763-4939
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Ammar Hemaidan, M.D.
Title
C.E.O
Phone
(386) 763-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0078370 FL Primary

Addresses

Primary practice location

1690 Dunlawton Ave
Suite 220
Port Orange, FL 32127-8979

Mailing address

1690 Dunlawton Ave
Suite 220
Port Orange, FL 32127-8979
Phone (386) 763-4920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1376816876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE 220",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "386-763-4920",
            "fax_number": "386-763-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "SUITE 220",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "386-763-4920",
            "fax_number": "386-763-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOSCOPY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "HEMAIDAN",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "386-763-4920",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0078370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.