Advanced Gynecology Of Central Florida P A
Obstetrics & Gynecology, Gynecology in Orlando, FL. Organization (NPI-2).
NPI number1861437451
StatusActive
Last updated in NPPESDec 27, 2007
Details
- NPI
- 1861437451
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Gynecology Of Central Florida P A
- Organization subpart
- No
- Enumeration date
- Jun 18, 2006
- Last updated
- Dec 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | ME89606 | FL | Yes |
Practice location
2501 N Orange AveSuite 210
Orlando, FL 32804-4603
Phone 407-898-9804 · Fax 407-898-9805
Mailing address
2501 N Orange AveSuite 210
Orlando, FL 32804-4603
Phone 407-898-9804 · Fax 407-898-9805
Authorized official
Lane Jay Mercer
Owner
4078989804
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