Healthcare Provider Details
I. General information
NPI: 1245447887
Provider Name (Legal Business Name): WOMEN'S HEALTH FOUNDATION, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3301 TAMIAMI TRL E COLLIER GOV'T CENTER - BLDG H
NAPLES FL
34112-3969
US
IV. Provider business mailing address
3301 TAMIAMI TRL E COLLIER GOV'T CENTER - BLDG H
NAPLES FL
34112-3969
US
V. Phone/Fax
- Phone: 239-732-2580
- Fax:
- Phone: 239-732-2580
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JODY
ALEXANDER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 239-530-5325