NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA

NEW SMYRNA BEACH, FL
NPI1245233725
Entity TypeOrganization
Authorized ContactJACOB DUDLEY ROUSE
President
386-423-0333
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: FL  ME32999)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: FL  RN2893652)
Enumeration Date2005-05-27
Last Update Date2012-09-07
Business Address
NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA
603 S ORANGE ST
NEW SMYRNA BEACH, FL 32168-7320
Phone number: 386-423-0333
Mailing Address
NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA
603 S ORANGE ST
NEW SMYRNA BEACH, FL 32168-7320
Phone number: 386-423-0333
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