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305 MEMORIAL MEDICAL PKWY SUITE 502 DAYTONA BEACH FL 321175168
GILLES CHEMTOB is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1467448704. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9830231463. The primary specialty is CRITICAL CARE (INTENSIVISTS). The organization is MEMORIAL HEALTH SYSTEMS INC. The address is 305 MEMORIAL MEDICAL PKWY, SUITE 502, DAYTONA BEACH, FL, 321175168. The zip code is 321175168.
|Nation Provider ID||1467448704|
|PAC ID by PECOS||9830231463|
|Professional Enrollment ID||I20100120000734|
|Medical School Name||OTHER|
|Primary Specialty||CRITICAL CARE (INTENSIVISTS)|
|All secondary specialties||ANESTHESIOLOGY|
|Organization Name||MEMORIAL HEALTH SYSTEMS INC|
|Group Practice PAC ID||9739081142|
|Number of Group Practice members||116|
|Address||305 MEMORIAL MEDICAL PKWY, SUITE 502, DAYTONA BEACH, FL, 321175168|
|Hospital affiliation LBN||MEMORIAL HOSPITAL FLAGLER, INC.|