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OB GYN OF GREATER ORLANDO LLC NPI 1215164363


NPI Information

NPI: 1215164363
Provider Name: OB GYN OF GREATER ORLANDO LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D1102089

Address:
5308 S JOHN YOUNG PKWY STE 300
ORLANDO, FL
ZIP 32839
Phone: (407) 846-4882
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OB GYN OF GREATER ORLANDO LLC is an obstetrics gynecology in Orlando, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OB GYN OF GREATER ORLANDO LLC NPI is 1215164363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5308 S JOHN YOUNG PKWY STE 300
ORLANDO, FL
ZIP 32839-362
Phone: (407) 846-4882
Fax: (407) 355-3383

The provider's authorized official is Gerome Alex Cleeford Beliard .
The authorized official title is Partner/physician and has the following contact phone number (407) 846-4882.

The CLIA number assigned to this NPI record is 10D1102089 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 8/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1272868100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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