Healthcare Provider Details
I. General information
NPI: 1700472073
Provider Name (Legal Business Name): GENTLE BIRTH CENTER OB GYN CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2020
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1490 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH FL
33411-1608
US
IV. Provider business mailing address
1490 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH FL
33411-1608
US
V. Phone/Fax
- Phone: 561-329-5019
- Fax:
- Phone: 561-329-5019
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NELSON
POSADA
Title or Position: ADMIN
Credential:
Phone: 561-616-3939