Provider Demographics
NPI:1750686788
Name:GYNECOLOGY SPECIALISTS OF OCALA, PLLC
Entity Type:Organization
Organization Name:GYNECOLOGY SPECIALISTS OF OCALA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:OBANYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-216-1714
Mailing Address - Street 1:PO BOX 2916
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-2916
Mailing Address - Country:US
Mailing Address - Phone:352-216-1714
Mailing Address - Fax:
Practice Address - Street 1:40 SW 12TH ST STE C202
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6521
Practice Address - Country:US
Practice Address - Phone:352-216-1714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85526207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty