# ADVANCE OBGYN OF CENTRAL FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194214684
- **Authorized official:** MRS. CHRISTIE GONZALEZ (OFFICE MANAGER)
- **Authorized official phone:** (407) 776-8410

## Contact information

- **Practice address:** 4170 TOWN CTR BLVD STE 104, ORLANDO, FL 32837
- **Practice address phone:** (407) 451-8443
- **Mailing address:** 6441 S CHICKASAW TRL \# 216, ORLANDO, FL 32829-8366
- **Mailing address phone:** (407) 776-8410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME131939 | FL | Yes |

## Other

- **Enumeration date:** 05/09/2018
- **Last updated:** 03/11/2019
