Healthcare Provider Details
I. General information
NPI: 1568444727
Provider Name (Legal Business Name): ALL WOMENS HEALTHCARE 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
3501 JOHNSON ST
HOLLYWOOD FL
33021-5421
US
IV. Provider business mailing address
PO BOX 452376
SUNRISE FL
33345-2376
US
V. Phone/Fax
- Phone: 954-985-3441
- Fax: 954-967-2957
- Phone: 973-251-1132
- Fax: 954-839-1960
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GILBERT
DROZDOW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-251-1132