# ALOMA PARK OB/GYN PA

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

## Provider details

- **NPI number:** 1952375388
- **Authorized official:** BERNARD THOMAS DESPRES DO (PRESIDENT)
- **Authorized official phone:** (407) 657-4407

## Contact information

- **Practice address:** 1925 MIZELL AVE, STE 104, WINTER PARK, FL 32792
- **Practice address phone:** (407) 657-4407
- **Practice address fax:** (407) 657-4669
- **Mailing address:** 1925 MIZELL AVE, STE 104, WINTER PARK, FL 32792
- **Mailing address phone:** (407) 657-4407
- **Mailing address fax:** (407) 657-4669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | OS0005626 | FL | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 08/22/2020