| Organization Name: | ADVANCED GYNECOLOGY INC |
| NPI Number: | 1013238153 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFAEL C HACISKI (OWNER/PRESIDENT) |
| Mailing Address: | 671 Goodlette Rd N Suite 230 Naples |
| State: | FL US |
| Postal Code: | 341025469 |
| Phone Number: | 2396929699 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2010 |
| NPI Last Update Date: | 07/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME86280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |