Healthcare Provider Details

I. General information

NPI: 1740200260
Provider Name (Legal Business Name): ASSOCIATES OF OBSTERICS & GYNECOLOGY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 SE 1ST AVE SUITE 101
OCALA FL
34471-0409
US

IV. Provider business mailing address

2801 SE 1ST AVE SUITE 101
OCALA FL
34471-0409
US

V. Phone/Fax

Practice location:
  • Phone: 352-690-6300
  • Fax: 352-690-6802
Mailing address:
  • Phone: 352-690-6300
  • Fax: 352-690-6802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME0064539
License Number StateFL

VIII. Authorized Official

Name: DR. MANUEL F DELCHARCO JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 352-690-6300