Port Orange Gynecology LLC
Port Orange Gynecology LLC provides Gynecology Physician services in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
900 N Swallowtail Dr St 102BPort Orange, FL 32129-6102 Not confirmed with CMS for 12 years — call before visiting
Phone: (386) 492-6929
Fax: (386) 492-6930
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecology Physician (primary) | Taxonomy 207VG0400X · Licence ME97528 (FL) |
|---|
Record details
| NPI number | 1548600869 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paula Foust — M.D. Owner · (386) 492-6929 |
| Other names | Port Orange Gynecology Llc |
| NPI enumerated | July 1, 2013 |
| Last updated in NPPES | October 9, 2013 |
| Mailing address | Po Box 12051, Belfast, ME 04915-4011 |