NPI Code Details Logo

NPI 1962377630

NPI 1962377630 : FLORIDA WOMAN CARE ,LLC : ORLANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962377630
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FLORIDA WOMAN CARE ,LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/10/2025
-----------------------------------------------------
    Last Update Date     |    10/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10775 NARCOOSSEE RD STE 200 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32832-7177
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-857-2502
-----------------------------------------------------
    Fax                  |    407-857-1855
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5801 POSTAL RD 
-----------------------------------------------------
    City                 |    CLEVELAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44181-2184
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-300-2410
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ENROLLMENT
-----------------------------------------------------
    Name                 |     TAMMY  WALKER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    561-300-2410
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207V00000X
-----------------------------------------------------
    Taxonomy Name        |    Obstetrics & Gynecology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.