Organization
ALLIANCE OBSTETRICS AND GYNECOLOGY GROUP, LLC
Active
Other names
Alliance Obstetrics and Gynecology Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMEIGH VERDEROSA WORLEY (OWNER/PHYSICIAN)
(321) 794-1864
Entity
Organization
Contact information
Practice address
2035 GLENWOOD DR, WINTER PARK, FL 32792-3307
(407) 960-2112
(407) 960-7024
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 960-2112
(407) 960-7024
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP414
FL MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
09/23/2019
Last updated
03/01/2022
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