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NPI Code Detail

MEDICARE: WOMENS CARE FLORIDA LLP

MEDICARE: WOMENS CARE FLORIDA LLP
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
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1700022761
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMENS CARE FLORIDA LLP
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 : 813-282-1806
Provider Business Practice Location Address
First Line : 1600 DR MARTIN LUTHER KING ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-4204
Country : US
Telephone Number : 727-456-0750
Fax Number : 727-456-0751
Authorized Official
Title or Position : COO
Name : ELLEN MICHELLE BOWER
Credential :
Telephone Number : 813-286-2033
Provider Enumeration Date : 12/22/2008
Last Update Date : 05/09/2023

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Directions to “WOMENS CARE FLORIDA LLP ” Practice Location

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