OrganizationActive
Ahp of Palm Coast LLC
NPI 1225202104 · Anesthesiology Physician · Altamonte Springs, FL
Provider details
- NPI number
- 1225202104
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Wachowiak, Manager(770) 945-5330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701-6823
Phone: (407) 830-8661
Approximate (ZIP-level) locationGet directions
Mailing address
3079 Peachtree Industrial Blvd
Duluth, GA 30097-2215
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2008-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.