NPIMap

Organization Active NPI

Women'S Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville Beach, FL
National Provider Identifier
1477136398
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S CARE FLORIDA LLC
Practice address
1361 13TH Ave S Ste 190
Jacksonville Beach, FL 32250-3235
Phone
(904) 247-5514
Fax
(904) 247-3363
NPI assigned
Apr 29, 2021
Organization subpart
Yes
Parent organization
WOMEN'S CARE FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Ellen Michelle Bower
Title
Coo
Phone
(813) 286-2033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X

Addresses

Primary practice location

1361 13TH Ave S Ste 190
Jacksonville Beach, FL 32250-3235

Mailing address

PO Box 25317
Tampa, FL 33622-5317

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0927520Women'S Care Florida, LLC1361 13TH Ave S Ste 190, Jacksonville, FL 32250Provider-performed microscopyApr 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Womens Care Florida97 organizations share this tax ID, including this one
Part of
Womens Care Florida

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1361 13th Ave S
Ste 110115
Jacksonville Beach, FL 32250
Phone (904) 247-5514

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1477136398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 190",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503235",
            "telephone_number": "904-247-5514",
            "fax_number": "904-247-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CARE FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMEN'S CARE FLORIDA LLC",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-286-2033"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.