Healthcare Provider Details
I. General information
NPI: 1508915000
Provider Name (Legal Business Name): WOMEN FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2007
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13901 US HIGHWAY 1 SUITE 4
JUNO BEACH FL
33408-1612
US
IV. Provider business mailing address
13901 US HIGHWAY 1 SUITE 4
JUNO BEACH FL
33408-1612
US
V. Phone/Fax
- Phone: 561-630-0840
- Fax: 561-630-0336
- Phone: 561-748-2889
- Fax: 561-748-1523
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
BARLOW
Title or Position: OWNER BILLING COMPANY
Credential:
Phone: 561-748-2889