Organization
VANDYKE MD OB/GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY ARIZA (ADMINISTRATOR)
(407) 316-0156
Entity
Organization
Contact information
Practice address
9161 NARCOOSSEE RD STE B209, ORLANDO, FL 32827-5764
(407) 316-0156
(407) 316-9997
Mailing address
9161 NARCOOSSEE RD STE B209, ORLANDO, FL 32827-5764
(407) 316-0156
(407) 316-9997
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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