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NPI Code Detail

MEDICARE: FLORIDA WOMAN CARE, LLC

MEDICARE: FLORIDA WOMAN CARE, 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
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1710555370
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA WOMAN CARE, LLC
Provider Business Mailing Address
First Line : PO BOX 9100
Second Line :
City : BELFAST
State : ME
Zip : 04915-9100
Country : US
Telephone Number : 561-300-2410
Fax Number : 561-235-7292
Provider Business Practice Location Address
First Line : 16190 NE 11TH CT
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4504
Country : US
Telephone Number : 305-944-3883
Fax Number : 305-354-2210
Authorized Official
Title or Position : MANAGER
Name : ERICA HERNANDEZ
Credential :
Telephone Number : 561-300-2410
Provider Enumeration Date : 06/11/2021
Last Update Date : 07/07/2022

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Directions to “FLORIDA WOMAN CARE, LLC ” Practice Location

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