Healthcare Provider Details

I. General information

NPI: 1598960304
Provider Name (Legal Business Name): ALL WOMENS HEALTHCARE OF WEST BROWARD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12651 W SUNRISE BLVD #104
SUNRISE FL
33323-0906
US

IV. Provider business mailing address

1613 NW 136TH AVE BUILDING C, SUITE #200
SUNRISE FL
33323-2853
US

V. Phone/Fax

Practice location:
  • Phone: 954-835-0940
  • Fax:
Mailing address:
  • Phone: 973-251-1132
  • Fax:

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: GILBERT L. DROZDOW
Title or Position: PRESIDENT
Credential: MD
Phone: 973-251-1132