NPI 1033478755
Advanced Women's Urology and Gynecology, PLLC
Practice location
- Address
- 2501 N Orange Ave Suite 210, Orlando, FL 32804-4603
- Phone
- (407) 898-9804
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Kristin M. Jackson
- Title
- Owner
- Phone
- (407) 898-9804
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1033478755
- Entity type
- Organization
- NPI issued
- 15 May 2012
- Record last updated
- 15 May 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.