Most Relevant Information
Provider Data
| NPI Number: | 1003279761 |
| Provider Name: | AHMED ELBANNA D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 5101022515 |
Most Important Dates
| Enumeration Date: | 03/31/2016 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
2884 WELLNESS AVE, STE 100
ORANGE CITY
FL
32763
Practice Location Phone/Fax
| Phone: | 3866682221 |
| Fax: | 3866682228 |
Provider Mailing Location
2884 WELLNESS AVE, STE 100
ORANGE CITY
FL
32763
Provider Mailing Phone/Fax
| Phone: | 3866682221 |
| Fax: | 3866682228 |
Suggested EMR
Internist EMR