Active NPI
Aloma Park OB/GYN PA
- Obstetrics & Gynecology Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS0005626
- Legal business name
- ALOMA PARK OB/GYN PA
- Practice address
- 1925 Mizell Ave
Ste 104
Winter Park, FL 32792 - Phone
- (407) 657-4407
- Fax
- (407) 657-4669
- NPI assigned
- Feb 14, 2006
- Last updated
- Aug 22, 2020
- 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
- Bernard Thomas Despres, DO
- Title
- President
- Phone
- (407) 657-4407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS0005626 | FL | Primary |
Addresses
Primary practice location
1925 Mizell Ave
Ste 104
Winter Park, FL 32792
Mailing address
1925 Mizell Ave
Ste 104
Winter Park, FL 32792
Phone (407) 657-4407
National Provider Directory
National Provider DirectoryLocations
1925 Mizell Ave
Ste 104
Winter Park, FL 32792
Phone (407) 628-3073
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Winter Park, FL
- NPI 1356317283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952375388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 MIZELL AVE",
"address_2": "STE 104",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-657-4407",
"fax_number": "407-657-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 MIZELL AVE",
"address_2": "STE 104",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-657-4407",
"fax_number": "407-657-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALOMA PARK OB/GYN PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DESPRES",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-657-4407",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS0005626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.