WOMENS CENTER OF HYDE PARK LLC NPI 1861621195

NPI Information

WOMENS CENTER OF HYDE PARK LLC is an obstetrics gynecology in Tampa, 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. WOMENS CENTER OF HYDE PARK LLC NPI is 1861621195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

502 S MAGNOLIA AVE
TAMPA, FL
ZIP 33606-257
Phone: (813) 258-5995
Fax: (813) 253-3330

The provider's authorized official is James S Pendergraft .
The authorized official title is Manager and has the following contact phone number (813) 258-5995.

The CLIA number assigned to this NPI record is 10D0952088 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 7/8/2009.

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:

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