Provider Demographics
NPI:1396149258
Name:OBSTETRICS AND GYNECOLOGY SPECIALISTS OF CENTRAL FLORIDA, P.A.
Entity type:Organization
Organization Name:OBSTETRICS AND GYNECOLOGY SPECIALISTS OF CENTRAL FLORIDA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:NARVAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-207-6768
Mailing Address - Street 1:930 S SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3005
Mailing Address - Country:US
Mailing Address - Phone:407-207-6768
Mailing Address - Fax:407-249-5025
Practice Address - Street 1:930 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3005
Practice Address - Country:US
Practice Address - Phone:407-207-6768
Practice Address - Fax:407-249-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92942207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty