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NPI Code Detail

MEDICARE: WOMEN'S CARE FLORIDA LLC

MEDICARE: WOMEN'S CARE FLORIDA 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

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 : 1881276830
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S CARE FLORIDA LLC
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 :
Provider Business Practice Location Address
First Line : 4690 EXPLORATION AVE
Second Line : SUITE 4692
City : LAKELAND
State : FL
Zip : 33812-4107
Country : US
Telephone Number : 863-644-4496
Fax Number : 863-644-4497
Authorized Official
Title or Position : COO
Name : ELLEN MICHELLE BOWER
Credential :
Telephone Number : 813-286-2033
Provider Enumeration Date : 04/28/2021
Last Update Date : 05/10/2023

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Directions to “WOMEN'S CARE FLORIDA LLC ” Practice Location

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