Gynecology Specialist Inc.

NPI #1720267107 in Orlando, Florida

Provider Information

NPI Number: 1720267107
Entity Type: Organization
Organization Name: Gynecology Specialist Inc.
Primary Specialty: Specialist
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 22 LAKE BEAUTY DR
Address 2: STE. 215
City: Orlando
State: Florida
ZIP Code: 32806-2037
Phone: (407) 422-0037

Authorized Official

Name: DR. MAURO EDWARD DIEZ, M.D.
Title: PRESIDENT
Phone: (407) 422-0037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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