# GEORGE T BESONG MD OB/GYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Women's Health Resource Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316231608
- **Authorized official:** DR. GEORGE TATAW BESONG M.D (OWNER)
- **Authorized official phone:** (386) 279-0060

## Contact information

- **Practice address:** 2728 ENTERPRISE RD, SUITE 200, ORANGE CITY, FL 32763-8276
- **Practice address phone:** (386) 774-0109
- **Practice address fax:** (386) 774-1203
- **Mailing address:** 2728 ENTERPRISE RD, SUITE 200, ORANGE CITY, FL 32763-8276
- **Mailing address phone:** (386) 774-0109
- **Mailing address fax:** (386) 774-1203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | ME123086 | FL | — |
| 207Q00000X | Family Medicine Physician | ME123086 | FL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | FL | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | ME92729 | FL | — |

## Other

- **Enumeration date:** 06/03/2011
- **Last updated:** 12/11/2015