Organization · Type 2 NPI

Wagid F Guirgis

Primary Care Clinic/Center · Port Orange, FL

NPI number 1871780106 Active

Practice location

3953 S Nova Rd
Port Orange, FL 32127-4910

Fax (386) 788-0990

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1871780106

Wagid F Guirgis's National Provider Identifier is 1871780106, issued on Oct 1, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Port Orange, FL. The record was last updated on Mar 18, 2011.