Organization
WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO A ORIA M.D. (PHYSICIAN)
(772) 337-4600
Entity
Organization
Contact information
Practice address
1696 SE HILLMOOR DR, SUITE A, PORT ST LUCIE, FL 34952-7699
(772) 337-4600
(772) 337-7600
Mailing address
1696 SE HILLMOOR DR, SUITE A, PORT ST LUCIE, FL 34952-7699
(772) 337-4600
(772) 337-7600
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77952
BCBSFL
FL
01
—
AA578
MEDICARE
FL
Enumeration date
06/24/2006
Last updated
04/15/2008
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