Women'S Obstetrical & Gynecological Center of Countryside, Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

753 Issued in FL

Legal business name

WOMEN'S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC

Practice address

28960 US Hwy 19 North
Suite 110
Clearwater, FL 33761-2403

Phone

(727) 785-2525

Fax

(727) 785-7712

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Vicki Rambo

Title

Insurance Billing & Credentialing R

Phone

(727) 442-0445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1295982767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DREW STREET",
            "address_2": "SUITE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653238",
            "telephone_number": "727-442-0445",
            "fax_number": "727-447-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28960 US HWY 19 NORTH",
            "address_2": "SUITE 110",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612403",
            "telephone_number": "727-785-2525",
            "fax_number": "727-785-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "RAMBO",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "INSURANCE BILLING & CREDENTIALING R",
        "authorized_official_telephone_number": "727-442-0445"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Wladaver, MS
• Amanda L Wolf, AA
• Richard A Wolf II, MSN, FNP-C
• Kelsey Wolfe
• Brian G Wolstein, DC
• Womens Care Florida LLP
• Womens Care Forida LLP
• Maria Angelica Wong Valle
• Samuel Anthony Wonsang, IDHS
• Wood Health Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.