NPIMap

Organization Active NPI

Florida Woman Care, LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1689242844
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FLORIDA WOMAN CARE, LLC
Practice address
4788 Hodges Blvd Ste 104
Jacksonville, FL 32224-7223
Phone
(904) 423-2517
NPI assigned
Jun 15, 2021
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA WOMAN CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Erica Hernandez
Title
Manager
Phone
(561) 300-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

4788 Hodges Blvd Ste 104
Jacksonville, FL 32224-7223

Mailing address

PO Box 9100
Belfast, ME 04915-9100
Phone (561) 300-2410

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
10D2051823Florida Woman Care of Jacksonville LLC4788 Hodges Blvd BLDG B #104, Jacksonville, FL 32224Provider-performed microscopyDec 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Xiao-Mei Zeng MD LLC327 organizations share this tax ID, including this one
Part of
Xiao-Mei Zeng MD LLC

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

4788 Hodges Blvd
Ste 104
Jacksonville, FL 32224
Phone (904) 423-2517

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1689242844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9100",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159100",
            "telephone_number": "561-300-2410",
            "fax_number": "561-235-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247223",
            "telephone_number": "904-423-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WOMAN CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA WOMAN CARE, LLC",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-300-2410"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.