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Organization
THE CENTER FOR ADVANCED GYNECOLOGY AND AESTHETICS
Active
Organization
THE CENTER FOR ADVANCED GYNECOLOGY AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CASELLA (ADMINISTRATOR)
(407) 908-6209
Entity
Organization
Contact information
Practice address
205 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(727) 456-4250
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, STE. 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME52981
FL
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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