Healthcare Provider Details

I. General information

NPI: 1629487004
Provider Name (Legal Business Name): WEST ORANGE WOMEN'S HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2014
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 S DILLARD ST SUITE 340
WINTER GARDEN FL
34787-3522
US

IV. Provider business mailing address

213 S DILLARD ST SUITE 340
WINTER GARDEN FL
34787-3522
US

V. Phone/Fax

Practice location:
  • Phone: 407-656-6938
  • Fax: 407-656-9161
Mailing address:
  • Phone: 407-656-6938
  • Fax: 407-656-9161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number743652
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW0053
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberTMW8
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW310
License Number StateFL
# 12
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME96125
License Number StateFL
# 13
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1967452
License Number StateFL
# 14
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number9327743
License Number StateFL
# 15
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER JOSEPH
Title or Position: CEO
Credential: LM, CPM
Phone: 407-656-6938