Organization
LAKE COUNTY PREFERRED OBGYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL C RITCH (PRESIDENT)
(352) 483-2229
Entity
Organization
Contact information
Practice address
2766 DORA AVE, TAVARES, FL 32778-4970
(352) 483-2229
Mailing address
2766 DORA AVE, TAVARES, FL 32778-4970
(352) 483-2229
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
11/03/2011
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