Healthcare Provider Details

I. General information

NPI: 1316154610
Provider Name (Legal Business Name): FLORIDA WOMAN CARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18450 US HIGHWAY 441 #C
MOUNT DORA FL
32757-6707
US

IV. Provider business mailing address

18450 US HIGHWAY 441 # C
MOUNT DORA FL
32757-6707
US

V. Phone/Fax

Practice location:
  • Phone: 352-383-4966
  • Fax: 352-383-2001
Mailing address:
  • Phone: 352-383-4966
  • Fax: 352-383-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP 9192551
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN EUGENE PILLOW
Title or Position: PRESIDENT
Credential: MD
Phone: 352-383-4966