NPIMap

Organization Active NPI

Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1114224300
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FLORIDA WOMAN CARE LLC
Practice address
3627 University Blvd S
Suite 340
Jacksonville, FL 32216-4294
Phone
(904) 398-1202
Fax
(904) 998-7948
NPI assigned
Feb 24, 2011
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. Kenneth Konsker, MD
Title
President
Phone
(561) 300-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

3627 University Blvd S
Suite 340
Jacksonville, FL 32216-4294

Mailing address

4205 W Atlantic Ave
Suite C304
Delray Beach, FL 33445-3901
Phone (561) 300-2410

Other identifiers 1

IdentifierTypeStateIssuer
001553542MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Xiao-Mei Zeng MD LLC327 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1114224300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W ATLANTIC AVE",
            "address_2": "SUITE C304",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453901",
            "telephone_number": "561-300-2410",
            "fax_number": "561-495-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S",
            "address_2": "SUITE 340",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164294",
            "telephone_number": "904-398-1202",
            "fax_number": "904-998-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WOMAN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "KONSKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-300-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001553542",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.