# MID-FLORIDA OB GYN HOSPITALIST PHYSICIAN SERVICES L L C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MID-FLORIDA PHYSICIAN SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245491091
- **Legal business name:** MID-FLORIDA PHYSICIAN SERVICES, LLC
- **Authorized official:** DAVE MACDOUGALL (CFO)
- **Authorized official phone:** (863) 293-1121

## Contact information

- **Practice address:** 101 AVENUE O NE, WINTER HAVEN, FL 33881
- **Practice address phone:** (863) 293-1121
- **Practice address fax:** (863) 297-1867
- **Mailing address:** 200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
- **Mailing address phone:** (863) 293-1121
- **Mailing address fax:** (863) 297-1867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 10/31/2008