# ALLIANCE OBSTETRICS AND GYNECOLOGY GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Alliance Obstetrics and Gynecology Group, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841841830
- **Authorized official:** AMEIGH VERDEROSA WORLEY (OWNER/PHYSICIAN)
- **Authorized official phone:** (321) 794-1864

## Contact information

- **Practice address:** 2035 GLENWOOD DR, WINTER PARK, FL 32792-3307
- **Practice address phone:** (407) 960-2112
- **Practice address fax:** (407) 960-7024
- **Mailing address:** 3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
- **Mailing address phone:** (407) 960-2112
- **Mailing address fax:** (407) 960-7024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/23/2019
- **Last updated:** 03/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NP414 | FL MEDICARE | FL |
| 05 | — | PENDING | — | FL |