Healthcare Provider Details

I. General information

NPI: 1073217659
Provider Name (Legal Business Name): WOMEN NETWORKING TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5412 W ATLANTIC BLVD
MARGATE FL
33063-5209
US

IV. Provider business mailing address

5412 W ATLANTIC BLVD
MARGATE FL
33063-5209
US

V. Phone/Fax

Practice location:
  • Phone: 954-558-4717
  • Fax: 954-827-8144
Mailing address:
  • Phone: 954-558-4717
  • Fax: 954-827-8144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: TANISHA HODGE
Title or Position: PRESIDENT
Credential:
Phone: 954-558-4717