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Ambulatory Endoscopy Center of Central Florida, Inc.

Organization Active NPI Ambulatory Surgical Clinic/Center · Longwood, FL

NPI 1891358792 · NPPES record last updated Apr 16, 2019

Key facts

NPI
1891358792
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
AMBULATORY ENDOSCOPY CENTER OF CENTRAL FLORIDA, INC.
Practice address
515 W State Road 434 Ste 105
Longwood, FL 32750-5161
Phone
(407) 260-6000
Fax
(407) 260-2133
NPI assigned
Apr 16, 2019
Organization subpart
Yes
Parent organization (as reported)
GASTRO HEALTH, LLC

Authorized official

Name
Olen Andrew Giles, MD
Title
Medical Director
Phone
(305) 468-4185

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Gastro Health PL (76 organizations share this tax ID)
Part of
Gastro Health PL

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

515 W State Road 434 Ste 105
Longwood, FL 32750-5161

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (305) 468-4185

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2019.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1891358792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 105",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505161",
            "telephone_number": "407-260-6000",
            "fax_number": "407-260-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ENDOSCOPY CENTER OF CENTRAL FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTRO HEALTH, LLC",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "OLEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-468-4185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

All providers in Longwood, FL · Ambulatory Surgical Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.