Creative Birth LLC

Organization Active NPI Obstetrics & Gynecology Physician · Hallandale, FL

NPI 1255666558 · NPPES record last updated Oct 5, 2009

Key facts

NPI
1255666558
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
CREATIVE BIRTH LLC
Practice address
3001 W Hallandale Beach Blvd
200
Hallandale, FL 33009-5155
Phone
(954) 456-4888
Fax
(954) 456-9721
NPI assigned
Oct 5, 2009
Organization subpart
No

Authorized official

Name
Dr. Wayne P Digiacomo, M.D.
Title
Director/Owner
Phone
(954) 456-4888

National Provider Directory

Locations

3001 W Hallandale Beach Blvd
Ste 200
Hallandale Beach, FL 33009
Phone (954) 456-4888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X FL Yes

Addresses

Primary practice location

3001 W Hallandale Beach Blvd
200
Hallandale, FL 33009-5155

Mailing address

3001 W Hallandale Beach Blvd
200
Hallandale, FL 33009-5155
Phone (954) 456-4888

Other providers in Hallandale, FL

All providers in Hallandale, FL · Obstetrics & Gynecology Physician in Florida

Sources for this page

Verify at the official NPI Registry.