Healthcare Provider Details

I. General information

NPI: 1356323539
Provider Name (Legal Business Name): ALL WOMENS HEALTHCARE OF SAWGRASS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST SUITE 104
HOLLYWOOD FL
33021-8256
US

IV. Provider business mailing address

PO BOX 452335
SUNRISE FL
33345-2335
US

V. Phone/Fax

Practice location:
  • Phone: 954-845-1190
  • Fax: 954-845-1191
Mailing address:
  • Phone: 973-251-1132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: DR. GILBERT L. DROZDOW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-251-1132