Active NPI
Olgpa Enterprise LLC
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1699348375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OLGPA ENTERPRISE LLC
- Doing business as
- CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY
- Practice address
- 6718 Lake Nona Blvd Ste 240
Orlando, FL 32827-7985 - Phone
- (863) 758-2273
- Fax
- (305) 400-4176
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Olga Diaz
- Title
- Manager
- Phone
- (202) 361-9290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
6718 Lake Nona Blvd Ste 240
Orlando, FL 32827-7985
Mailing address
PO Box 950572
Lake Mary, FL 32795-0572
Phone (863) 758-2273
Other names 1
- CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1699348375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950572",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327950572",
"telephone_number": "863-758-2273",
"fax_number": "305-400-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6718 LAKE NONA BLVD STE 240",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277985",
"telephone_number": "863-758-2273",
"fax_number": "305-400-4176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLGPA ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "202-361-9290",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CENTER FOR REPRODUCTIVE IMMUNOLOGY AND INFERTILITY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.