Plantation Pavilion OB-GYN

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

PLANTATION PAVILION OB-GYN

Practice address

4330 W Broward Blvd
Ste C
Plantation, FL 33317-3775

Phone

(954) 587-0351

Fax

(954) 990-6464

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Georges Edouard, M.D.

Title

OB-GYN

Phone

(954) 587-0351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• George Edouard, M.D.

  • Obstetrics & Gynecology Physician
  • Plantation, FL
  • NPI 1457353948
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1093126591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "STE C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "954-587-0351",
            "fax_number": "954-990-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "STE C",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "954-587-0351",
            "fax_number": "954-990-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION PAVILION OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "GEORGES",
        "authorized_official_title_or_position": "OB-GYN",
        "authorized_official_telephone_number": "954-587-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650305871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plantation Open MRI LLC
• Plantation Oral Surgery, PLLC
• Plantation Ortho, LLC
• Plantation Palms Dental P.a.
• Plantation Park Dental Associates, P.a.
• Plantation Pediatric Neurosurgery LLC
• Plantation Pediatrics PA
• Plantation Pharmacy Inc
• Plantation Physical Medicine PA
• Plantation Primary Care Physicians, Inc

• Gynecology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.