Healthcare Provider Details

I. General information

NPI: 1013848860
Provider Name (Legal Business Name): SAGE WOMENS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5242 NW 51ST ST
COCONUT CREEK FL
33073-3337
US

IV. Provider business mailing address

5242 NW 51ST ST
COCONUT CREEK FL
33073-3337
US

V. Phone/Fax

Practice location:
  • Phone: 954-821-7007
  • Fax:
Mailing address:
  • Phone: 954-821-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ANN M EMMONETTE
Title or Position: OWNER
Credential: APRN
Phone: 954-821-7007