NEW SMYRNA BEACH GYNECOLOGY & OBSTETRICS PA
Nursing at Orange St, New Smyrna, FL

License number
Florida ME32999
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
Florida RN2893652
Category
Nursing
Type
Obstetrics & Gynecology
Owner
Name: JACOB DUDLEY ROUSE JR. MD
Title: PRESIDENT
Phone: (386) 423-0333
Address
Address
603 S Orange St, New Smyrna, FL 32168
National Provider ID: 1245233725
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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New Smyrna Beach Gynecology & Obstetrics, PA

603 S Orange St, New Smyrna, FL 32168

Registration:
Dec 31, 1992
State ID:
P92000015535
Business type:
Domestic for Profit Corporation
Director:
J. D. Rouse (Director)

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