MEDICARE: WOMAN TO WOMAN GYN OF NAPLES

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	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	ME62510	FL
2	207VG0400X	Gynecology Physician	ME62510	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25067	OTHER	FL	B/C B/S
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376651091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMAN TO WOMAN GYN OF NAPLES

Provider Business Mailing Address
First Line	:	1201 PIPER BLVD STE 21
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1385
Country	:	US
Telephone Number	:	239-591-3311
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 PIPER BLVD STE 21
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1385
Country	:	US
Telephone Number	:	239-591-3311
Fax Number	:	239-591-3327

Authorized Official
Title or Position	:	PROVIDER
Name	:	JANICE NICOLE YOUNG
Credential	:
Telephone Number	:	239-591-3311

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/16/2023

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