Organization Active NPI

All Women's Health Center of Jacksonville, Inc

  • Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1790447977
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC
Practice address
1545 Huffingham Road
Jacksonville, FL 32216-2721
Phone
(904) 731-2755
Fax
(904) 730-7376
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Vicki Rambo
Title
Insurance Billing Representative
Phone
(727) 442-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

1545 Huffingham Road
Jacksonville, FL 32216-2721

Mailing address

2106 Drew Street
Suite 103
Clearwater, FL 33765-3238
Phone (727) 442-0445

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
10D0718789All Womens Health Center of Jacksonville Inc1545 Huffingham Rd, Jacksonville, FL 32216Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
All Women's Health Center of Jacksonville Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1545 Huffingham Rd
Jacksonville, FL 32216
Phone (352) 378-9191

Practitioners & affiliated clinicians

Practitioners 1

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": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1790447977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DREW STREET",
            "address_2": "SUITE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653238",
            "telephone_number": "727-442-0445",
            "fax_number": "727-447-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HUFFINGHAM ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162721",
            "telephone_number": "904-731-2755",
            "fax_number": "904-730-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "RAMBO",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "INSURANCE BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "727-442-0445"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, 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 Oct 6, 2021; 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.