Organization
ADVANCED OBSTETRICS & GYNECOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL ALVARADO M D (PRESIDENT)
(352) 728-3898
Entity
Organization
Contact information
Practice address
1414 E MAIN ST, LEESBURG, FL 34748-5329
(352) 728-3898
(352) 728-6240
Mailing address
1414 E MAIN ST, LEESBURG, FL 34748-5329
(352) 728-3898
(352) 728-6240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME-0059124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258320800
—
FL
Enumeration date
07/17/2006
Last updated
02/25/2010
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