Healthcare Provider Details

I. General information

NPI: 1558666750
Provider Name (Legal Business Name): WOMANKIND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 01/17/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 TRUMAN AVENUE
KEY WEST FL
33040
US

IV. Provider business mailing address

1511 TRUMAN AVENUE
KEY WEST FL
33040
US

V. Phone/Fax

Practice location:
  • Phone: 305-294-4004
  • Fax: 305-294-6043
Mailing address:
  • Phone: 305-294-4004
  • Fax: 305-294-6043

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 Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN ROBERTS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 305-294-4004