Healthcare Provider Details

I. General information

NPI: 1366569790
Provider Name (Legal Business Name): ALL FEMALE HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 W OAKLAND PARK BLVD SUITE 102
SUNRISE FL
33351-7235
US

IV. Provider business mailing address

8890 WEST OAKLAND PARK BLVD SUITE 102
SUNRISE FL
33351-7235
US

V. Phone/Fax

Practice location:
  • Phone: 954-742-3536
  • Fax: 954-742-3740
Mailing address:
  • Phone: 954-742-3536
  • Fax: 954-742-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNP1563652
License Number StateFL

VIII. Authorized Official

Name: MRS. SAFIEH JAVID MAMASSANI
Title or Position: DIRECTOR
Credential: ARNP
Phone: 954-740-3536