MELROSE WOMEN'S CARE NPI 1376720128

NPI Information

  • NPI: 1376720128
  • Provider Name: MELROSE WOMEN'S CARE
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Doing Business As: SOUTH TAMPA GYNECOLOGY
  • CLIA Number: 10D1080865
  • Address: 2919 W. SWANN AVE
    SUITE 303
    TAMPA, FL
    ZIP 33609
  • Phone: (813) 569-0740

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NPI Details

MELROSE WOMEN'S CARE is a gynecology obstetrics gynecology in Tampa, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MELROSE WOMEN'S CARE NPI is 1376720128. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Tampa Gynecology.

The provider's business location address is:

2919 W. SWANN AVE
SUITE 303
TAMPA, FL
ZIP 33609
Phone: (813) 569-0740
Fax: (813) 864-7603

The provider's authorized official is Nicole Fanarjian .
The authorized official title is Owner/gunecology and has the following contact phone number (813) 569-0740.

The CLIA number assigned to this NPI record is 10D1080865 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 1/20/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyME79261FLORIDANo
2207VG0400XObstetrics & GynecologyGynecologyYes

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This page was last updated on: 11/21/2025

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