NPIMap

Organization Active NPI

Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1700455367
Registry record updated Feb 24, 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
1510 Riverplace Blvd
Jacksonville, FL 32207-9017
Phone
(904) 346-0050
Fax
(904) 346-0080
NPI assigned
Jun 18, 2021
Organization subpart
Yes
Parent organization
FLORIDA WOMAN CARE,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1510 Riverplace Blvd
Jacksonville, FL 32207-9017

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
OBGYN Specialists of the Palm Beaches II LLC327 organizations share this tax ID, including this one
Part of
OBGYN Specialists of the Palm Beaches II 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

1510 Riverplace Blvd
Jacksonville, FL 32207
Phone (800) 807-7090

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1700455367",
    "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": "1510 RIVERPLACE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079017",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA WOMAN CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA WOMAN CARE,LLC",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "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 Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.