Organization
ONA-GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA G IVERY MD (MANAGING MEMBER)
(321) 223-2062
Entity
Organization
Contact information
Practice address
4346 S HOPKINS AVE, TITUSVILLE, FL 32780-6606
(321) 267-3787
(321) 267-3790
Mailing address
4346 S HOPKINS AVE, TITUSVILLE, FL 32780-6606
(321) 267-3787
(321) 267-3790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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