MEDICARE: ALL WOMENS HEALTHCARE OF DADE INC

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
1	367A00000X	Advanced Practice Midwife
2	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447232657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL WOMENS HEALTHCARE OF DADE INC

Provider Business Mailing Address
First Line	:	PO BOX 452375
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33345-2375
Country	:	US
Telephone Number	:	954-838-2565
Fax Number	:	954-839-1960

Provider Business Practice Location Address
First Line	:	100 NW 170TH ST
Second Line	:	SUITE 207
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-5513
Country	:	US
Telephone Number	:	305-653-0550
Fax Number	:	305-653-0909

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GILBERT DROZDOW
Credential	:	M.D.
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/12/2011

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