# OLGPA ENTERPRISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699348375
- **Authorized official:** MS. OLGA DIAZ (MANAGER)
- **Authorized official phone:** (202) 361-9290

## Contact information

- **Practice address:** 6718 LAKE NONA BLVD STE 240, ORLANDO, FL 32827-7985
- **Practice address phone:** (863) 758-2273
- **Practice address fax:** (305) 400-4176
- **Mailing address:** PO BOX 950572, LAKE MARY, FL 32795-0572
- **Mailing address phone:** (863) 758-2273
- **Mailing address fax:** (305) 400-4176

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 08/19/2024