Organization
EXODUS WOMEN'S CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA S. MAYO (DIRECTOR OF OPERATIONS)
(813) 684-2229
Entity
Organization
Contact information
Practice address
215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803-4689
(813) 684-2229
Mailing address
888 S PARSONS AVE, BRANDON, FL 33511-6007
(813) 684-2229
(813) 654-1384
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057571220
—
FL
Enumeration date
05/19/2008
Last updated
06/02/2019
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