Healthcare Provider Details

I. General information

NPI: 1386824704
Provider Name (Legal Business Name): VILLAGE WOMEN'S HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2247 PALM BEACH LAKES BLVD SUITE 206
WEST PALM BEACH FL
33409-3470
US

IV. Provider business mailing address

3783 PRESTWICK CIRCLE
PALM BEACH GARDENS FL
33418-0000
US

V. Phone/Fax

Practice location:
  • Phone: 561-712-0688
  • Fax: 561-471-9186
Mailing address:
  • Phone: 561-712-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. KATIA TERESA LAREMONT
Title or Position: OWNER
Credential: M.D.
Phone: 561-712-0688