South Orlando Obgyn and Pediatrics

NPI #1760681019 in Orlando, Florida

Provider Information

NPI Number: 1760681019
Entity Type: Organization
Organization Name: South Orlando Obgyn and Pediatrics
Primary Specialty: Specialist
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 1118 S ORANGE AVE STE 205
City: Orlando
State: Florida
ZIP Code: 32806-1200
Phone: (407) 422-2255

Authorized Official

Name: DR. WILFREDO VEGA/MONTALVO, MD
Title: OWNER
Phone: (407) 422-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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