Organization
ADVANCED GYNECOLOGY OF CENTRAL FLORIDA P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE JAY MERCER M.D. (OWNER)
(407) 898-9804
Entity
Organization
Contact information
Practice address
2501 N ORANGE AVE, SUITE 210, ORLANDO, FL 32804-4603
(407) 898-9804
(407) 898-9805
Mailing address
2501 N ORANGE AVE, SUITE 210, ORLANDO, FL 32804-4603
(407) 898-9804
(407) 898-9805
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME89606
FL
Other
Enumeration date
06/18/2006
Last updated
12/27/2007
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