South Orlando OBGYN and Pediatrics
South Orlando OBGYN and Pediatrics provides Specialist services in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
1118 S Orange Ave Ste 205Orlando, FL 32806-1200 Not confirmed with CMS for 19 years — call before visiting
Phone: (407) 422-2255
Fax: (407) 839-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence ME0079819 (FL) |
|---|
Record details
| NPI number | 1760681019 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wilfredo Vega/Montalvo — Owner · (407) 422-2255 |
| NPI enumerated | July 17, 2007 |
| Last updated in NPPES | July 17, 2007 |
| Mailing address | 1118 S Orange Ave Ste 205, Orlando, FL 32806-1200 |
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