NPI | 1841841830 |
---|---|
Former Legal Business Name | ALLIANCE OBSTETRICS AND GYNECOLOGY GROUP, LLC |
Entity Type | Organization |
Authorized Contact | AMEIGH VERDEROSA WORLEY Owner/Physician 321-794-1864 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2019-09-23 |
Last Update Date | 2022-03-01 |