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WOMEN'S HEALTHCARE OF SW FLORIDA LLC NPI 1700130721


NPI Information

NPI: 1700130721
Provider Name: WOMEN'S HEALTHCARE OF SW FLORIDA, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
7890 SUMMERLIN LAKES DR
SUITE 3
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-1999
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WOMEN'S HEALTHCARE OF SW FLORIDA, LLC is an obstetrics gynecology in Fort Myers, 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. WOMEN'S HEALTHCARE OF SW FLORIDA, LLC NPI is 1700130721. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7890 SUMMERLIN LAKES DR
SUITE 3
FORT MYERS, FL
ZIP 33907-851
Phone: (239) 939-1999
Fax: (239) 939-4935

The provider's authorized official is Caryle Lyne Clyatt .
The authorized official title is Officer and has the following contact phone number (239) 939-1999.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 8/30/2013.


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 & GynecologyME92164FLORIDANo
2363LF0000XNurse PractitionerFamilyNo
3207V00000XObstetrics & GynecologyME59299FLORIDAYes

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
1HB175AMEDICARE UPINFLORIDA
2008470600MEDICAIDFLORIDA

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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