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General NPI Number Information
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NPI Number | 1275428088
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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 | 06/11/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 112 PARK PLACE BLVD UNIT A
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City | DAVENPORT
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State | FL
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Zip | 33837-6857
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Country | US
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Telephone | 407-566-2229
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Fax | 833-973-4103
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Provider Business Mailing Address
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Address Line | PO BOX 81798
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City | CLEVELAND
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State | OH
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Zip | 44181-0798
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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 | PROVIDER ENROLLMENT
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Name | TAMMY WALKER
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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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