MEDICARE: SPARROW WOMENS HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1184565335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARROW WOMENS HEALTH LLC

Provider Business Mailing Address
First Line	:	2011 REDMARK LN
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-8840
Country	:	US
Telephone Number	:	321-400-3214
Fax Number	:	407-395-2199

Provider Business Practice Location Address
First Line	:	1150 E PLANT ST STE G
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-2922
Country	:	US
Telephone Number	:	321-400-3214
Fax Number	:	407-395-2199

Authorized Official
Title or Position	:	OWNER
Name	:	MEGAN B LUCIANO
Credential	:	MD
Telephone Number	:	407-768-8731

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/24/2026

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