Individual
DR. OLIVER KENNETH BAYOUTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3431 S ORANGE AVE STE B, ORLANDO, FL 32806-8508
(407) 425-4422
(407) 425-4294
Mailing address
3431 S ORANGE AVE STE B, ORLANDO, FL 32806-8508
(407) 425-4422
(407) 425-4294
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME0045179
FL
207VG0400X
Gynecology Physician
Primary
ME0045179
FL
207VM0101X
Maternal & Fetal Medicine Physician
ME0045179
FL
207VX0000X
Obstetrics Physician
ME0045179
FL
Other
Enumeration date
10/21/2005
Last updated
03/08/2022
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