Active NPI
Santa Rosa Womens Center PA
- Obstetrics & Gynecology Physician
- Milton, FL
National Provider Identifier
1316097520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MEOO50043
- Legal business name
- SANTA ROSA WOMENS CENTER PA
- Practice address
- 5942 Berryhill Rd
Milton, FL 32570-4009 - Phone
- (850) 981-3700
- NPI assigned
- Jan 11, 2007
- 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
- Laura A Lee
- Title
- Office Manager
- Phone
- (850) 981-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MEOO50043 | FL | Primary |
Addresses
Primary practice location
5942 Berryhill Rd
Milton, FL 32570-4009
Mailing address
5942 Berryhill Rd
Milton, FL 32570-4009
Phone (850) 981-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378056200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5942 Berryhill Rd
Milton, FL 32570
Phone (850) 981-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430870400000",
"number": "1316097520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5942 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325704009",
"telephone_number": "850-981-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5942 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325704009",
"telephone_number": "850-981-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA ROSA WOMENS CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2015-05-06",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "850-981-3700"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "MEOO50043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378056200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.