NPIMap

Organization Active NPI

Florida Woman Care, LLC

  • Obstetrics & Gynecology Physician
  • Port Orange, FL
National Provider Identifier
1194023648
Registry record updated Mar 8, 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
900 N Swallowtail Dr
Suite B-102
Port Orange, FL 32129-6102
Phone
(386) 492-6929
Fax
(386) 492-6930
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
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

900 N Swallowtail Dr
Suite B-102
Port Orange, FL 32129-6102

Mailing address

4205 W Atlantic Ave
Suite C-304
Delray Beach, FL 33445-3901
Phone (561) 300-2410

Other identifiers 1

IdentifierTypeStateIssuer
001553531MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Miami Women's Health Associates327 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

Locations

900 N Swallow Tail Dr
Ste B102
Pt Orange, FL 32129
Phone (386) 492-6929

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1194023648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W ATLANTIC AVE",
            "address_2": "SUITE C-304",
            "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": "900 N SWALLOWTAIL DR",
            "address_2": "SUITE B-102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296102",
            "telephone_number": "386-492-6929",
            "fax_number": "386-492-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WOMAN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001553531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.