Provider Demographics
NPI:1295171395
Name:PERINATAL CENTER, PA
Entity type:Organization
Organization Name:PERINATAL CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAYOUTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-425-4422
Mailing Address - Street 1:3431 S ORANGE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-8508
Mailing Address - Country:US
Mailing Address - Phone:407-425-4422
Mailing Address - Fax:407-425-4294
Practice Address - Street 1:3431 S ORANGE AVE STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-8508
Practice Address - Country:US
Practice Address - Phone:407-425-4422
Practice Address - Fax:407-425-4294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty