Healthcare Provider Details

I. General information

NPI: 1124000955
Provider Name (Legal Business Name): ALL WOMENS HEALTHCARE OF SOUTH FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17901 NW 5TH ST SUITE 202
PEMBROKE PINES FL
33029-2810
US

IV. Provider business mailing address

PO BOX 452366
SUNRISE FL
33345-2366
US

V. Phone/Fax

Practice location:
  • Phone: 954-442-8722
  • Fax: 954-442-8721
Mailing address:
  • Phone: 954-838-2565
  • Fax: 954-839-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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