New Smyrna Beach Gynecology & Obstetrics PA
NPI #1245233725 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1245233725
- Entity Type
- Organization
- Organization Name
- New Smyrna Beach Gynecology & Obstetrics PA
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- May 27, 2005
- Last Updated
- Sep 7, 2012
Practice Location
- Address
- 603 S ORANGE ST
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168-7320
- Phone
- (386) 423-0333
Authorized Official
- Name
- JACOB DUDLEY ROUSE JR., MD
- Title
- PRESIDENT
- Phone
- (386) 423-0333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Obstetrics & Gynecology — Obstetrics & Gynecology |
| Obstetrics & Gynecology |
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