Orange Grove Medical Specialties, P.a.

NPI 1295928893 - Internal Medicine - 207R00000X

NPI Details
NPI 1295928893
Enumeration Date 08/27/2007
Last Updated 05/15/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA LISA
Position MANAGER
Phone (228) 832-5151
Fax (228) 832-6320
Practice Location
15286 COMMUNITY RD
GULFPORT MS, 39503-3509, US
Phone (228) 832-5151
Fax (228) 832-6320
Business Location
15286 COMMUNITY RD
GULFPORT MS, 39503, US
Phone (228) 832-5151
Fax (228) 832-6320
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Orange Grove Medical Specialties, P.a. NPI is 1295928893, taxonomy code is 207R00000X Orange Grove Medical Specialties, P.a. physically located at 15286 Community Rd, Gulfport MS, 39503-3509. NPI Number 1033115704 has the healthcare provider type.

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1295928893 NPI number is provided on an as is basis without warranty of any kind. 1295928893 is maintained by the National Plan & Provider Enumeration System. The contents of Orange Grove Medical Specialties, P.a. are for informational purposes only.