NPIMap

Organization Active NPI

Women's Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1831772706
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S CARE FLORIDA LLC
Practice address
836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339
Phone
(904) 208-2550
Fax
(904) 346-5410
NPI assigned
Apr 29, 2021
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WOMEN'S CARE FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Ellen Michelle Bower
Title
Coo
Phone
(813) 286-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

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
10D0863208Women's Care Florida, LLC836 Prudential Drive Suite 1202a, Jacksonville, FL 32207Provider-performed microscopyAug 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Womens Care Forida LLP97 organizations share this tax ID, including this one
Part of
Womens Care Forida LLP

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1831772706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 1202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078339",
            "telephone_number": "904-208-2550",
            "fax_number": "904-346-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CARE FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMEN'S CARE FLORIDA LLC",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-286-2033"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE 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 May 10, 2023; 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.