Organization Active NPI

South Florida Obstetrical and Gynecological Services PA

  • Obstetrics & Gynecology Physician
  • Plantation, FL
National Provider Identifier
1013195783
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME36984 Issued in FL
Legal business name
SOUTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL SERVICES PA
Practice address
4101 NW 3Rd CT Ste 11
Plantation, FL 33317-2830
Phone
(954) 452-4377
Fax
(954) 452-1022
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cecille B Alexis
Title
Office Manager
Phone
(954) 452-4377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X ME36984 FL Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X ME78854 FL

Addresses

Primary practice location

4101 NW 3Rd CT Ste 11
Plantation, FL 33317-2830

Mailing address

4101 NW 3Rd CT Ste 11
Plantation, FL 33317-2830
Phone (954) 452-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000491 FL Part B Supplier - Clinic/Group Practice 3779753678 Receives reassigned benefits from 2 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

4101 NW 3rd Ct
Ste 11
Plantation, FL 33317
Phone (954) 368-3529

150 NW 70th Ave
Ste 7
Plantation, FL 33317
Phone (954) 247-7630

150 NW 70th Ave
Ste 2
Plantation, FL 33317
Phone (954) 584-9534

4101 NW 4th St
Ste 404
Plantation, FL 33317
Phone (954) 791-4311

209 SW 84th Ave
Plantation, FL 33324
Phone (954) 452-4377

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1013195783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 3RD CT STE 11",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172830",
            "telephone_number": "954-452-4377",
            "fax_number": "954-452-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 3RD CT STE 11",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172830",
            "telephone_number": "954-452-4377",
            "fax_number": "954-452-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "CECILLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-452-4377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME36984",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME78854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.