Organization
OSCEOLA OB-GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R DENARDIS DO (DO)
(407) 518-1074
Entity
Organization
Contact information
Practice address
1160 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 518-1074
(407) 518-9056
Mailing address
1160 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 518-1074
(407) 518-9056
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004198400
—
FL
Enumeration date
02/21/2007
Last updated
02/18/2014
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