Healthcare Provider Details
I. General information
NPI: 1063085066
Provider Name (Legal Business Name): UNE PLACE POUR LES FEMMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2021
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1501 PRESIDENTIAL WAY STE 20
WEST PALM BEACH FL
33401-1852
US
IV. Provider business mailing address
1501 PRESIDENTIAL WAY STE 20
WEST PALM BEACH FL
33401-1852
US
V. Phone/Fax
- Phone: 561-616-3939
- Fax:
- Phone: 561-329-5019
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NELSON
POSADA
Title or Position: ADMIN
Credential:
Phone: 561-616-3939