Provider Demographics
NPI:1629153432
Name:MID FLORIDA WOMAN'S CENTER, INC.
Entity Type:Organization
Organization Name:MID FLORIDA WOMAN'S CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BHUPENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-870-5050
Mailing Address - Street 1:207 PARK PLACE BLVD STE 2-3
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2373
Mailing Address - Country:US
Mailing Address - Phone:407-870-5050
Mailing Address - Fax:407-870-7609
Practice Address - Street 1:207 PARK PLACE BLVD STE 2-3
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2373
Practice Address - Country:US
Practice Address - Phone:407-870-5050
Practice Address - Fax:407-870-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE33804Medicare UPIN