MEDICARE: LABOR OF LOVE GYNECOLOGY, 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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1891527073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABOR OF LOVE GYNECOLOGY, LLC

Provider Business Mailing Address
First Line	:	9280 SILENT OAK CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6633
Country	:	US
Telephone Number	:	786-355-1676
Fax Number	:

Provider Business Practice Location Address
First Line	:	9280 SILENT OAK CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6633
Country	:	US
Telephone Number	:	786-355-1676
Fax Number	:

Authorized Official
Title or Position	:	OBSTETRICIAN/GYNECOLOGIST
Name	:	DR. DIONE ANESTILA OCCENAD-NIMMO
Credential	:	MD
Telephone Number	:	786-355-1676

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/16/2024

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