Organization
ALOMA PARK OB/GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD THOMAS DESPRES DO (PRESIDENT)
(407) 657-4407
Entity
Organization
Contact information
Practice address
1925 MIZELL AVE, STE 104, WINTER PARK, FL 32792
(407) 657-4407
(407) 657-4669
Mailing address
1925 MIZELL AVE, STE 104, WINTER PARK, FL 32792
(407) 657-4407
(407) 657-4669
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS0005626
FL
Other
Enumeration date
02/14/2006
Last updated
08/22/2020
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