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Florida Woman Care, LLC

Obstetrics & Gynecology in Lady Lake, FL. Organization (NPI-2).

NPI number1164098984
StatusActive
Last updated in NPPESFeb 23, 2022

Details

NPI
1164098984
Entity type
Organization (NPI-2)
Legal business name
Florida Woman Care, LLC
Organization subpart
Yes
Enumeration date
Jun 2, 2021
Certification date
Feb 23, 2022
Last updated
Feb 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery––

Practice location

8550 Ne 138th Ln Bldg 400
Lady Lake, FL 32159-6831

Phone 352-690-6300 · Fax 352-690-6802

Mailing address

Po Box 9100
Belfast, ME 04915-9100

Phone 561-300-2410 · Fax 561-235-7292

Authorized official

Erica Hernandez
Manager
5613002410

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