Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prime OB/GYN PA

Organization Specialist · NPI 1730428020

Prime OB/GYN PA is a Specialist in Orlando, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 S Orange Ave Fourth Fl
Orlando, FL 32806-1236
Phone: (407) 205-7646
Fax: (407) 264-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1730428020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Mervis — Owner/Partner · (407) 205-7646
NPI enumeratedFebruary 6, 2013
Last updated in NPPESFebruary 6, 2013
Mailing address773 Terra Pl, Maitland, FL 32751-4583

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