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NPI Code Detail

MEDICARE: WOMEN'S CARE FLORIDA LLC

MEDICARE: WOMEN'S CARE FLORIDA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician
2367A00000XAdvanced Practice Midwife
3207RG0100XGastroenterology Physician
4363L00000XNurse Practitioner
5133N00000XNutritionist
6208200000XPlastic Surgery Physician
7291U00000XClinical Medical Laboratory
8207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1013902923
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S CARE FLORIDA LLC
Provider Business Mailing Address
First Line : PO BOX 748817
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8817
Country : US
Telephone Number : 813-286-0033
Fax Number :
Provider Business Practice Location Address
First Line : 4030 W BOY SCOUT BLVD STE 800
Second Line :
City : TAMPA
State : FL
Zip : 33607-5713
Country : US
Telephone Number : 813-286-0333
Fax Number : 813-282-1806
Authorized Official
Title or Position : CREDENTIALING DIRECTOR
Name : DESIRA DAIL
Credential :
Telephone Number : 813-493-2889
Provider Enumeration Date : 09/16/2005
Last Update Date : 11/19/2025

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Directions to “WOMEN'S CARE FLORIDA LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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