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SASHA M. DAVIDSON LLC NPI 1477022663


NPI Information

NPI: 1477022663
Provider Name: SASHA M. DAVIDSON, LLC

Other Name: SIGNATURE PERINATAL CENTER

Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

CLIA Number: 10D2161266

Address:
2151 E COMMERCIAL BLVD STE 202
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 900-6228
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SASHA M. DAVIDSON, LLC is a maternal and fetal medicine obstetrics gynecology in Fort Lauderdale, FL. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. SASHA M. DAVIDSON, LLC NPI is 1477022663. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Signature Perinatal Center.

The provider's business location address is:

2151 E COMMERCIAL BLVD STE 202
FORT LAUDERDALE, FL
ZIP 33308-807
Phone: (954) 900-6228
Fax: (580) 279-1132

The provider's authorized official is Sasha M Davidson .
The authorized official title is Owner/medical Director and has the following contact phone number (202) 276-8068.

The CLIA number assigned to this NPI record is 10D2161266 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2018 and was last updated on 11/20/2018.


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
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

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
1017611500MEDICAIDFLORIDA

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: 11/14/2023

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