# CENTRAL FL REG OBSTETRICS AND GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1790725117
- **Authorized official:** MICKEY PICKLER (VP)
- **Authorized official phone:** (850) 523-2117

## Contact information

- **Practice address:** 1000 EXECUTIVE DR, SUITE 3, OVIEDO, FL 32765-8140
- **Practice address phone:** (407) 365-2929
- **Mailing address:** 1000 EXECUTIVE DR, SUITE 3, OVIEDO, FL 32765-8140
- **Mailing address phone:** (407) 365-2929

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 08/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 74908 | BCBS OF FL | FL |