Provider Demographics
NPI:1215784285
Name:WEST POINT MEDICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:WEST POINT MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:SOBHY
Authorized Official - Last Name:GUIRGUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-324-0434
Mailing Address - Street 1:1317 W POINT DR
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-6464
Mailing Address - Country:US
Mailing Address - Phone:321-324-0434
Mailing Address - Fax:321-735-4080
Practice Address - Street 1:1317 W POINT DR
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-6464
Practice Address - Country:US
Practice Address - Phone:321-324-0434
Practice Address - Fax:321-735-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty