Phoenix Obstetrics And Gynecology Llc

LBN: Phoenix Obstetrics And Gynecology Llc
Phoenix Obstetrics And Gynecology Llc is an health care organization with primary practice located at 1600 S Andrews Ave , Ft Lauderdale FL 33316-2510. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Phoenix Obstetrics And Gynecology Llc can be contacted via phone (954) 355-5017, or through Walls, Bertrum via phone (954) 355-5017.

Contact Information

Primary practice address
1600 S Andrews Ave Ft Lauderdale FL 33316-2510
Phone: (954) 355-5017
Fax: (954) 714-6335
Website:
Map and Directions
Authorized official contact:
Name: Walls, Bertrum Doctor of Medicine (MD)
Phone: (954) 355-5017

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME43546 Florida

Profile Details

NPI number 1902944382
LBN Legal business name Phoenix Obstetrics And Gynecology Llc
DBA Doing business as
Authorized official Walls, Bertrum Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated May 22nd, 2009 - about 15 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 1902944382 NPPES
Florida MEDICAID 269096902

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