Registry details
Type
Organization
Primary specialty
Obstetrics & Gynecology, Gynecology
Enumerated
Apr 4, 2007
License(s)
OS0006081 (FL), ME23619 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1805 SE 16TH AVE SUITE 602 | Ocala, FL 34471-4672 | 352-840-0788 |
| LOCATION | 1805 SE 16TH AVE SUITE 602 | Ocala, FL 34471-4672 | 352-840-0788 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.