Provider Demographics
NPI:1992941868
Name:ADVANCE GASTROENTEROLOGY AND PULMONARY CARE PL
Entity type:Organization
Organization Name:ADVANCE GASTROENTEROLOGY AND PULMONARY CARE PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:BIN-SAGHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-345-4876
Mailing Address - Street 1:7128 SAGHEER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6535
Mailing Address - Country:US
Mailing Address - Phone:352-345-4876
Mailing Address - Fax:352-345-4880
Practice Address - Street 1:7128 SAGHEER ST
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6535
Practice Address - Country:US
Practice Address - Phone:352-345-4876
Practice Address - Fax:352-345-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-26
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70282207RG0100X, 207RI0200X
FLME103045207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty