Organization
HEART OF FLORIDA OB/GYN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI KAY HARRIS (OFFC MGR)
(863) 421-7600
Entity
Organization
Contact information
Practice address
2221 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 421-7600
(863) 421-7551
Mailing address
PO BOX 667, DAVENPORT, FL 33836-0667
(863) 421-7600
(863) 421-7551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258034900
—
FL
Enumeration date
10/05/2006
Last updated
11/14/2013
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