Elite Womens Care
Obstetrics & Gynecology, Gynecology in Brooksville, FL. Organization (NPI-2).
NPI number1336702109
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1336702109
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Womens Care
- Organization subpart
- No
- Enumeration date
- Apr 17, 2019
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | Yes |
Practice location
11319 Cortez BlvdBrooksville, FL 34613-5407
Phone 352-597-0907
Mailing address
11319 Cortez BlvdBrooksville, FL 34613-5407
Phone 352-597-0907
Authorized official
Johannes Wijnmaalen
Cfo
3525970907
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All 6 Gynecology Physician providers in Brooksville · All 1,695 providers in Brooksville
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