MEDICARE: WEST ORANGE WOMEN'S HEALTH SERVICES

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	176B00000X	Midwife	MW0053	FL
2	207V00000X	Obstetrics & Gynecology Physician	ME96125	FL
3	367A00000X	Advanced Practice Midwife	1967452	FL
4	176B00000X	Midwife	TMW8	FL
5	374J00000X	Doula
6	174N00000X	Lactation Consultant (Non-RN)
7	171M00000X	Case Manager/Care Coordinator
8	172V00000X	Community Health Worker
9	133V00000X	Registered Dietitian
10	163W00000X	Registered Nurse	743652	FL
11	174H00000X	Health Educator
12	176B00000X	Midwife	MW310	FL
13	101YM0800X	Mental Health Counselor
14	101YA0400X	Addiction (Substance Use Disorder) Counselor
15	367A00000X	Advanced Practice Midwife	9327743	FL

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	:	1629487004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST ORANGE WOMEN'S HEALTH SERVICES

Provider Business Mailing Address
First Line	:	213 S DILLARD ST
Second Line	:	SUITE 340
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3522
Country	:	US
Telephone Number	:	407-656-6938
Fax Number	:	407-656-9161

Provider Business Practice Location Address
First Line	:	213 S DILLARD ST
Second Line	:	SUITE 340
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3522
Country	:	US
Telephone Number	:	407-656-6938
Fax Number	:	407-656-9161

Authorized Official
Title or Position	:	CEO
Name	:	MS. JENNIFER JOSEPH
Credential	:	LM, CPM
Telephone Number	:	407-656-6938

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	04/29/2015

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