PAVILION FOR WOMEN'S CARE LLC NPI 1811954340

NPI Information

PAVILION FOR WOMEN'S CARE LLC is an obstetrics gynecology in Miami, 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. PAVILION FOR WOMEN'S CARE LLC NPI is 1811954340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8501 SW 124TH AVE
SUITE 211
MIAMI, FL
ZIP 33183-627
Phone: (305) 595-6488
Fax: (305) 595-3532

The provider's authorized official is John M. Kirby .
The authorized official title is Vp Of Finance and has the following contact phone number (305) 264-5252.

The CLIA number assigned to this NPI record is 10D0969153 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 6/27/2008.

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:

Other Identifiers

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