Organization
OBSTETRICS & GYNECOLOGY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE E SMITH L.P.N. (OFFICE ADMINISTRATOR)
(407) 846-7200
Entity
Organization
Contact information
Practice address
2400 N. ORANGE BLOSSOM TRAIL, SUITE 300, KISSIMMEE, FL 34744
(407) 846-7200
(407) 846-3989
Mailing address
2400 N. ORANGE BLOSSOM TRAIL, SUITE 300, KISSIMMEE, FL 34744-4198
(407) 846-7200
(407) 846-3989
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 46628
FL
207V00000X
Obstetrics & Gynecology Physician
ME74163
FL
Other
Enumeration date
11/15/2005
Last updated
01/12/2011
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