Healthcare Provider Details

I. General information

NPI: 1255487385
Provider Name (Legal Business Name): ALTAMONTE WOMENS CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 BALLARD ST STE 1000
ALTAMONTE SPRINGS FL
32701-5426
US

IV. Provider business mailing address

707 BALLARD ST STE 1000
ALTAMONTE SPRINGS FL
32701-5426
US

V. Phone/Fax

Practice location:
  • Phone: 407-331-7784
  • Fax: 407-339-0640
Mailing address:
  • Phone: 407-331-7784
  • Fax: 407-339-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN A ASHLEY GILBERT
Title or Position: PRESIDENT
Credential: MD
Phone: 407-331-7784