Prime Ob/gyn P.a.

NPI #1730428020 in Orlando, Florida

Provider Information

NPI Number: 1730428020
Entity Type: Organization
Organization Name: Prime Ob/gyn P.a.
Primary Specialty: Specialist
Enumeration Date: Feb 6, 2013
Last Updated: Feb 6, 2013

Practice Location

Address: 1111 S ORANGE AVE
Address 2: FOURTH FLOOR
City: Orlando
State: Florida
ZIP Code: 32806-1236
Phone: (407) 205-7646

Authorized Official

Name: DR. MATTHEW R MERVIS, M.D.
Title: OWNER/PARTNER
Phone: (407) 205-7646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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