OrganizationActive
Womens Health and Surgery Center
NPI 1134533136 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Winter Park, FL
Provider details
- NPI number
- 1134533136
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ivan Martinez, Controller(407) 215-6321
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
483 N Semoran Blvd
Suite 205
Winter Park, FL 32792-3800
Phone: (497) 215-6321
Street-level locationGet directions
Mailing address
483 N Semoran Blvd
Winter Park, FL 32792-3800
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2014-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.