# EXODUS WOMEN'S CENTER, INC.

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

## Provider details

- **NPI number:** 1336306372
- **Authorized official:** MS. LINDA S. MAYO (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (813) 684-2229

## Contact information

- **Practice address:** 215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803-4689
- **Practice address phone:** (813) 684-2229
- **Mailing address:** 888 S PARSONS AVE, BRANDON, FL 33511-6007
- **Mailing address phone:** (813) 684-2229
- **Mailing address fax:** (813) 654-1384

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 06/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 057571220 | — | FL |