Organization
ORANGE BLOSSOM WOMEN'S GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUT BARDACH MD (OWNER)
(727) 846-7000
Entity
Organization
Contact information
Practice address
2043 LITTLE RD, TRINITY, FL 34655-4421
(727) 846-7000
(727) 440-8211
Mailing address
2043 LITTLE RD, TRINITY, FL 34655-4421
(727) 846-7000
(727) 440-8211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME111975
FL
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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