# OBSTETRICS & GYNECOLOGY ASSOC.

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

## Provider details

- **NPI number:** 1417939521
- **Authorized official:** KATIE E SMITH L.P.N. (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (407) 846-7200

## Contact information

- **Practice address:** 2400 N. ORANGE BLOSSOM TRAIL, SUITE 300, KISSIMMEE, FL 34744
- **Practice address phone:** (407) 846-7200
- **Practice address fax:** (407) 846-3989
- **Mailing address:** 2400 N. ORANGE BLOSSOM TRAIL, SUITE 300, KISSIMMEE, FL 34744-4198
- **Mailing address phone:** (407) 846-7200
- **Mailing address fax:** (407) 846-3989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME 46628 | FL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | ME74163 | FL | — |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 01/12/2011
