Healthcare Provider Details

I. General information

NPI: 1184565335
Provider Name (Legal Business Name): SPARROW WOMENS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 E PLANT ST STE G
WINTER GARDEN FL
34787-2922
US

IV. Provider business mailing address

2011 REDMARK LN
WINTER GARDEN FL
34787-8840
US

V. Phone/Fax

Practice location:
  • Phone: 321-400-3214
  • Fax: 407-395-2199
Mailing address:
  • Phone: 321-400-3214
  • Fax: 407-395-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MEGAN B LUCIANO
Title or Position: OWNER
Credential: MD
Phone: 407-768-8731