Active NPI
Florida Woman Care, LLC
- Obstetrics & Gynecology Physician
- Lauderdale Lakes, FL
National Provider Identifier
1679870877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- FLORIDA WOMAN CARE, LLC
- Practice address
- 4850 W Oakland Park Blvd
Suite 118
Lauderdale Lakes, FL 33313-7268 - Phone
- (954) 485-1511
- Fax
- (954) 739-7948
- NPI assigned
- Feb 24, 2011
- Last updated
- Mar 4, 2011
- 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
- Kenneth Konsker, MD
- Title
- President
- Phone
- (561) 300-2410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
4850 W Oakland Park Blvd
Suite 118
Lauderdale Lakes, FL 33313-7268
Mailing address
4205 W Atlantic Ave
Suite C-304
Delray Beach, FL 33445-3901
Phone (561) 300-2410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001553517 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4850 W Oakland Park Blvd
Ste 118
Lauderdale Lakes, FL 33313
Phone (954) 485-1511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299196800000",
"number": "1679870877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 W ATLANTIC AVE",
"address_2": "SUITE C-304",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453901",
"telephone_number": "561-300-2410",
"fax_number": "561-495-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD",
"address_2": "SUITE 118",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137268",
"telephone_number": "954-485-1511",
"fax_number": "954-739-7948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA WOMAN CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-24",
"last_updated": "2011-03-04",
"status": "A",
"authorized_official_last_name": "KONSKER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-300-2410",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001553517",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
- Florida Institute of Health, LTD Ucp
- Florida Institute of Health, LTD, LLLP
- Florida United Radiology, LC
- Florida United Radiology, LC
- Florida Woman Care, LLC
- Florida Youth Services South
- Floridas Treatment Center
- FMC Cardiology Panel LLC
- FMC Emergency Solutions LLC
- FMC Hospital, LTD. (Florida Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.