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MODERN TIMES WOMENS CARE PA NPI 1760555213


NPI Information

NPI: 1760555213
Provider Name: MODERN TIMES WOMENS CARE PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
7050 NW 4TH ST
SUITE 201
PLANTATION, FL
ZIP 33317
Phone: (954) 791-3090
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MODERN TIMES WOMENS CARE 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. MODERN TIMES WOMENS CARE PA NPI is 1760555213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7050 NW 4TH ST
SUITE 201
PLANTATION, FL
ZIP 33317-247
Phone: (954) 791-3090
Fax: (954) 921-3166

The provider's authorized official is Idalia Talavera .
The authorized official title is President and has the following contact phone number (954) 921-3090.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/31/2011.


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 & GynecologyME85186FLORIDAYes

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
1AB241MEDICARE PINFLORIDA
2277741000MEDICAIDFLORIDA

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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