Wagid F Guirgis

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WAGID F GUIRGIS

Practice address

3953 S Nova Rd
Port Orange, FL 32127-4910

Phone

(386) 788-4911

Fax

(386) 788-0990

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wagid F Guirgis, MD

Title

MD

Phone

(386) 788-4911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1871780106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274910",
            "telephone_number": "386-788-4911",
            "fax_number": "386-788-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274910",
            "telephone_number": "386-788-4911",
            "fax_number": "386-788-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGID F GUIRGIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "GUIRGIS",
        "authorized_official_first_name": "WAGID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "386-788-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.