WOMEN'S OB/GYN CENTER OF COUNTRYSIDE INC. NPI 1295982767

NPI Information

WOMEN'S OB/GYN CENTER OF COUNTRYSIDE, INC. is a gynecology obstetrics gynecology in Clearwater, FL. WOMEN'S OB/GYN CENTER OF COUNTRYSIDE, INC. NPI is 1295982767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28960 US HIGHWAY 19 N
SUITE 110
CLEARWATER, FL
ZIP 33761-403
Phone: (727) 785-2525
Fax: (800) 827-0082

The provider's authorized official is Marisella Marengo .
The authorized official title is Billing And Contract Manager and has the following contact phone number (727) 442-0445.

The CLIA number assigned to this NPI record is 10D0719864 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.

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:

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