Southeast Gynecological Specialty PA

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

SOUTHEAST GYNECOLOGICAL SPECIALTY PA

Practice address

2964 N State Road 7
Suite 100
Margate, FL 33063-5755

Phone

(954) 974-5190

Fax

(954) 974-0743

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Laura B Burke

Title

MCC

Phone

(954) 974-5190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boniface U Ndubisi, MD

  • Gynecologic Oncology Physician
  • Margate, FL
  • NPI 1730189697
  Medicare reassignment

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1508921818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7",
            "address_2": "SUITE 100",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635755",
            "telephone_number": "954-974-5190",
            "fax_number": "954-974-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7",
            "address_2": "SUITE 100",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635755",
            "telephone_number": "954-974-5190",
            "fax_number": "954-974-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GYNECOLOGICAL SPECIALTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MCC",
        "authorized_official_telephone_number": "954-974-5190"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Vision Services, Inc.
• South Florida Wound Care Management LLC
• Southeast Medical Centers
• Southern Surgical Specialties LLC
• Spark of Hope, LLC.
• Spark of Hope, LLC.
• Claudine Spence, COTA

• Gynecologic Oncology Physician in Margate, FL
• Providers in Margate, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.