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SOUTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL SERVICES PA NPI 1013195783


NPI Information

NPI: 1013195783
Provider Name: SOUTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL SERVICES PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D0926826

Address:
209 SW 84TH AVE
PLANTATION, FL
ZIP 33324
Phone: (954) 452-4377
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SOUTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL SERVICES PA is an obstetrics gynecology in Plantation, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL SERVICES PA NPI is 1013195783. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

209 SW 84TH AVE
PLANTATION, FL
ZIP 33324-708
Phone: (954) 452-4377
Fax: (954) 452-1022

The provider's authorized official is Cecille B Alexis .
The authorized official title is Office Manager and has the following contact phone number (954) 452-4377.

The CLIA number assigned to this NPI record is 10D0926826 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/5/2008 and was last updated on 8/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME78854FLORIDANo
2207V00000XObstetrics & GynecologyME36984FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K2597MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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