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General NPI Number Information
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NPI Number | 1144096611
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Entity Type | Organization
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Legal Business Name | FLORIDA WOMAN CARE,LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 6991 N STATE ROAD 7 STE 100
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4327
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Country | US
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Telephone | 561-417-4000
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Fax | 954-755-7366
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Provider Business Mailing Address
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Address Line | PO BOX 9100
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City | BELFAST
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State | ME
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Zip | 04915-9100
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Country | US
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Telephone | 561-300-2410
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ERICA HERNANDEZ
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Credential |
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Telephone | 561-300-2410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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