Phoenix Obsterics/Gynecology, Llc

LBN: Phoenix Obsterics/Gynecology, Llc
Phoenix Obsterics/Gynecology, Llc is an health care organization with primary practice located at 500 Se 17Th St Suite 100, Ft Lauderdale FL 33316-2547. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Phoenix Obsterics/Gynecology, Llc can be contacted via phone (919) 425-1565, or through Walls, Bertram via phone (954) 838-2371.

Contact Information

Primary practice address
500 Se 17Th St Suite 100 Ft Lauderdale FL 33316-2547
Phone: (919) 425-1565
Fax: (919) 425-0478
Website:
Map and Directions
Authorized official contact:
Name: Walls, Bertram Doctor of Medicine (MD)
Phone: (954) 838-2371

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME43546 Florida

Profile Details

NPI number 1568411700
LBN Legal business name Phoenix Obsterics/Gynecology, Llc
DBA Doing business as
Authorized official Walls, Bertram Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2006
Last updated Aug 10th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568411700 NPPES
Florida MEDICAID 269096903

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