Healthcare Provider Details

I. General information

NPI: 1447232657
Provider Name (Legal Business Name): ALL WOMENS HEALTHCARE OF DADE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 07/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 170TH ST SUITE 207
NORTH MIAMI BEACH FL
33169-5513
US

IV. Provider business mailing address

PO BOX 452375
SUNRISE FL
33345-2375
US

V. Phone/Fax

Practice location:
  • Phone: 305-653-0550
  • Fax: 305-653-0909
Mailing address:
  • Phone: 954-838-2565
  • Fax: 954-839-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GILBERT DROZDOW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-838-2371