ADVANCED GYNECOLOGY OF CENTRAL FLORIDA P A NPI 1861437451

NPI Information

ADVANCED GYNECOLOGY OF CENTRAL FLORIDA P A is a gynecology obstetrics gynecology in Orlando, FL. ADVANCED GYNECOLOGY OF CENTRAL FLORIDA P A NPI is 1861437451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 N ORANGE AVE
SUITE 210
ORLANDO, FL
ZIP 32804-603
Phone: (407) 898-9804
Fax: (407) 898-9805

The provider's authorized official is Lane Jay Mercer .
The authorized official title is Owner and has the following contact phone number (407) 898-9804.

The CLIA number assigned to this NPI record is 10D1035435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 12/27/2007.

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

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

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