WATERFORD LAKES WOMEN'S HEALTH CENTER NPI 1700871795

NPI Information

WATERFORD LAKES WOMEN'S HEALTH CENTER 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. WATERFORD LAKES WOMEN'S HEALTH CENTER NPI is 1700871795. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11399 LAKE UNDERHILL RD
ORLANDO, FL
ZIP 32825-023
Phone: (407) 207-6768
Fax: (407) 249-5025

The provider's authorized official is Fernando Lopez .
The authorized official title is Owner and has the following contact phone number (407) 207-6768.

The CLIA number assigned to this NPI record is 10D1005677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 10/25/2011.

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:

Other Identifiers

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