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WOMENS WELLNESS CENTER OF SOUTH FLORIDA LLC NPI 1962454132


NPI Information

NPI: 1962454132
Provider Name: WOMENS WELLNESS CENTER OF SOUTH FLORIDA LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D1023414

Address:
3850 COCONUT CREEK PKWY
SUITE 1
COCONUT CREEK, FL
ZIP 33066
Phone: (954) 984-8892
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WOMENS WELLNESS CENTER OF SOUTH FLORIDA LLC is an obstetrics gynecology in Coconut Creek, 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 WELLNESS CENTER OF SOUTH FLORIDA LLC NPI is 1962454132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3850 COCONUT CREEK PKWY
SUITE 1
COCONUT CREEK, FL
ZIP 33066-600
Phone: (954) 984-8892
Fax: (954) 984-8810

The provider's authorized official is Tara Ann Solomon .
The authorized official title is President and has the following contact phone number (954) 984-8892.

The CLIA number assigned to this NPI record is 10D1023414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 12/29/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyFLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G28706MEDICARE UPINFLORIDA
20728706OTHERFLORIDAPARITY HEALTHCARE
3K9889MEDICARE PINFLORIDA

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: 5/5/2024

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