Florida Woman Care LLC
Organization Active NPI Obstetrics & Gynecology Physician · St Augustine, FL
NPI 1336446525 · NPPES record last updated Mar 4, 2011
Key facts
- NPI
- 1336446525
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- FLORIDA WOMAN CARE LLC
- Practice address
- 300 Health Park Blvd
#3002
St Augustine, FL 32086-3703 - Phone
- (904) 819-1500
- Fax
- (904) 540-9696
- NPI assigned
- Feb 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Konsker, MD
- Title
- President
- Phone
- (561) 300-2410
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- OBGYN Specialists of the Palm Beaches II LLC
Locations
300 Health Park Blvd
Ste 3002
St Augustine, FL 32086
Phone (904) 819-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
300 Health Park Blvd
#3002
St Augustine, FL 32086-3703
Mailing address
4205 W Atlantic Ave
Suite C304
Delray Beach, FL 33445-3901
Phone (561) 300-2410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001553549 | Medicaid | FL |
Other providers in St Augustine, FL
- Florida Sedation, Implant and Dental Surgery Associates, LLC
- Florida Sports Medicine Institute Inc
- Florida Surgical First Assisting LLC
- Florida Woman Care
- Florida Woman Care ,LLC
- Florida Woman Care LLC
- Florida Woman Care, LLC
- Cheryl Flostrand
- Elizabeth Flostrand
- FM Medical
All providers in St Augustine, FL · Obstetrics & Gynecology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.