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SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA NPI 1679681449


NPI Information

NPI: 1679681449
Provider Name: SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
4101 NW 4TH ST
SUITE 306
PLANTATION, FL
ZIP 33317
Phone: (954) 522-2979
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SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE 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. SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA NPI is 1679681449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4101 NW 4TH ST
SUITE 306
PLANTATION, FL
ZIP 33317-840
Phone: (954) 522-2979
Fax: (954) 903-0633

The provider's authorized official is Winston O Bliss .
The authorized official title is President and has the following contact phone number (954) 522-2979.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/10/2012.


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 & GynecologyME71138FLORIDAYes

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
132290MEDICARE PINFLORIDA
2276564100MEDICAIDFLORIDA

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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