Organization
PREMIER OBSTETRICS AND GYNECOLOGY OF ORLANDO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WEST VAN WERT M.D. (PRESIDENT)
(321) 397-1212
Entity
Organization
Contact information
Practice address
531 N MAITLAND AVE, MAITLAND, FL 32751-4421
(321) 397-1212
(321) 397-1213
Mailing address
531 N MAITLAND AVE, MAITLAND, FL 32751-4421
(321) 397-1212
(321) 397-1213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/14/2005
Last updated
08/22/2020
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