Provider Demographics
NPI:1154633014
Name:SVETLANA A CASCIO MD PA
Entity Type:Organization
Organization Name:SVETLANA A CASCIO MD PA
Other - Org Name:OB GYN CARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:ALEXSANDRA
Authorized Official - Last Name:CASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-644-9730
Mailing Address - Street 1:301 S MAITLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5631
Mailing Address - Country:US
Mailing Address - Phone:407-644-9730
Mailing Address - Fax:407-645-4799
Practice Address - Street 1:301 S MAITLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5631
Practice Address - Country:US
Practice Address - Phone:407-644-9730
Practice Address - Fax:407-645-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95576174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty