NPIMap

Organization Active NPI

All Women'S Health Center of Jacksonville, Inc.

  • Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1801044268
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
800 Issued in FL
Legal business name
ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC.
Practice address
4331 University Blvd S
Jacksonville, FL 32216-4909
Phone
(904) 731-2755
Fax
(904) 730-7376
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Marisella Marengo
Title
Billing and Contract Manager
Phone
(727) 442-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 800 FL Primary

Addresses

Primary practice location

4331 University Blvd S
Jacksonville, FL 32216-4909

Mailing address

2106 Drew St
Ste 103
Clearwater, FL 33765-3238
Phone (727) 442-0445

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

2106 Drew St
Ste 103
Clearwater, FL 33765
Phone (727) 442-0445

4331 University Blvd S
Jacksonville, FL 32216
Phone (904) 731-2755

Practitioners & affiliated clinicians

Practitioners 2

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1801044268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DREW ST",
            "address_2": "STE 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": "4331 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164909",
            "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": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MARENGO",
        "authorized_official_first_name": "MARISELLA",
        "authorized_official_title_or_position": "BILLING AND CONTRACT MANAGER",
        "authorized_official_telephone_number": "727-442-0445"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "800",
            "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 Aug 28, 2008; 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.