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General NPI Number Information
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NPI Number | 1770656571
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Entity Type | Organization
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Legal Business Name | MID FLORIDA OB-GYN SPECIALISTS
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1403 MEDICAL PLAZA DR SUITE 102
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City | SANFORD
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State | FL
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Zip | 32771-1000
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Country | US
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Telephone | 407-322-5313
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Fax | 407-321-4027
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Provider Business Mailing Address
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Address Line | 1403 MEDICAL PLAZA DR. SUITE 102
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City | SANFORD
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State | FL
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Zip | 32771-1047
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Country | US
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Telephone | 407-322-5313
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Fax | 407-321-4027
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. DAVID C MOWERE
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Credential | M.D.
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Telephone | 407-322-5313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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