Provider Demographics
NPI:1497291660
Name:REPRODUCTIVE MEDICINE ASSOCIATES OF FLORIDA LLC
Entity Type:Organization
Organization Name:REPRODUCTIVE MEDICINE ASSOCIATES OF FLORIDA LLC
Other - Org Name:RMA OF FLORIDA
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATOUNAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:917-566-2398
Mailing Address - Street 1:400 COLONIAL CENTER PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-7682
Mailing Address - Country:US
Mailing Address - Phone:407-804-9670
Mailing Address - Fax:407-804-9671
Practice Address - Street 1:400 COLONIAL CENTER PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-7682
Practice Address - Country:US
Practice Address - Phone:407-804-9670
Practice Address - Fax:407-804-9671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty