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NPI Code Detail

MEDICARE: SOUTH BROWARD WOMENS CARE

MEDICARE: SOUTH BROWARD WOMENS CARE
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
1174400000XSpecialistME0069459FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13369576OTHERFLAETNA
227931OTHERFLBCBS
32170009OTHERFLUNITED HEALTHCARE
45470OTHERFLTOTAL HEALTH CHOICE

General Provider Information

NPI Number : 1255542957
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH BROWARD WOMENS CARE
Provider Business Mailing Address
First Line : 16215 NE 18TH CT
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4802
Country : US
Telephone Number : 954-927-2752
Fax Number : 954-927-6701
Provider Business Practice Location Address
First Line : 599 S FEDERAL HWY
Second Line :
City : DANIA
State : FL
Zip : 33004-4107
Country : US
Telephone Number : 954-927-2752
Fax Number : 954-927-6701
Authorized Official
Title or Position : PRESIDENT
Name : DR. ELIE DUMENY
Credential : MD
Telephone Number : 305-927-2752
Provider Enumeration Date : 05/24/2007
Last Update Date : 08/22/2020

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Directions to “SOUTH BROWARD WOMENS CARE ” Practice Location

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