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1730428020
PRIME OB/GYN P.A.
ORLANDO, FL
NPI
1730428020
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Entity Type
Organization
Authorized Contact
MATTHEW R MERVIS
Owner/Partner
407-205-7646
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
PRIME OB/GYN P.A.
1111 S ORANGE AVE FOURTH FLOOR
ORLANDO, FL 32806-1236
Phone number: 407-205-7646
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Mailing Address
PRIME OB/GYN P.A.
773 TERRA PL
MAITLAND, FL 32751-4583
Phone number: 407-205-7646
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