Healthcare Provider Details

I. General information

NPI: 1003977059
Provider Name (Legal Business Name): HEALTHY WOMEN P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13901 US HIGHWAY 1 5
JUNO BEACH FL
33408-1612
US

IV. Provider business mailing address

13901 US HIGHWAY 1 5
JUNO BEACH FL
33408-1612
US

V. Phone/Fax

Practice location:
  • Phone: 561-748-2889
  • Fax: 561-748-1523
Mailing address:
  • Phone: 561-748-2889
  • Fax: 561-748-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME88827
License Number StateFL

VIII. Authorized Official

Name: MRS. KAREN BARLOW
Title or Position: PRESIDENT BILLING COMPANY
Credential:
Phone: 561-748-2889