MEDICARE: WOMEN'S CARE CENTER OF PASCO

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		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245265479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S CARE CENTER OF PASCO

Provider Business Mailing Address
First Line	:	5422 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-3948
Country	:	US
Telephone Number	:	727-849-1659
Fax Number	:	727-842-3627

Provider Business Practice Location Address
First Line	:	5422 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-3948
Country	:	US
Telephone Number	:	727-849-1659
Fax Number	:	727-842-3627

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. LYNDA M MCKENRY
Credential	:
Telephone Number	:	727-848-6474

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/21/2022

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