Active NPI
Foster Women'S Care
- Obstetrics & Gynecology Physician
- Melbourne, FL
National Provider Identifier
1235123092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME78114
- Legal business name
- FOSTER WOMEN'S CARE
- Practice address
- 1318 S Pine St
Melbourne, FL 32901-3117 - Phone
- (321) 952-9500
- Fax
- (321) 952-2299
- NPI assigned
- Sep 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Sperrazza
- Title
- Medical Biller
- Phone
- (321) 952-9500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME78114 | FL | Primary |
| Gynecology Physician | 207VG0400X | OS6956 | FL |
Addresses
Primary practice location
1318 S Pine St
Melbourne, FL 32901-3117
Mailing address
1318 S Pine St
Melbourne, FL 32901-3117
Phone (321) 952-9500
National Provider Directory
National Provider DirectoryLocations
1318 Pine St
Melbourne, FL 32901
Phone (321) 952-9500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1942294418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221609600000",
"number": "1235123092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 S PINE ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013117",
"telephone_number": "321-952-9500",
"fax_number": "321-952-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 S PINE ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013117",
"telephone_number": "321-952-9500",
"fax_number": "321-952-2299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTER WOMEN'S CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2008-09-17",
"status": "A",
"authorized_official_last_name": "SPERRAZZA",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "321-952-9500"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME78114",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "OS6956",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.