Flamingo Women'S Pavilion LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME 90059 Issued in FL

Legal business name

FLAMINGO WOMEN'S PAVILION LLC

Practice address

12600 Pembroke Rd
Suite 202
Miramar, FL 33027-2544

Phone

(954) 435-4700

NPI assigned

Jun 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jaqueline Benhjamin

Title

Office Manager

Phone

(954) 435-4700

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Flamingo Women'S Pavilion LLC2 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.

• Flamingo Womens Pavilion LLC

  • Specialist
  • Miramar, FL
  • NPI 1871702290
  NPD tax ID

Locations

Practitioners 1

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

• Dwight Evon Benjamin, MD, FACOG, FRCOG

  • Obstetrics & Gynecology Physician
  • Miramar, FL
  • NPI 1962513648
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1881007938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD",
            "address_2": "SUITE 202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-435-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD",
            "address_2": "SUITE 202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-435-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO WOMEN'S PAVILION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "BENHJAMIN",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-435-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME 90059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2745241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Class OBGYN PA
• First Watch Home Health Agency
• First Wellness Home Rehab Services
• Mark Steven Fishman, D.O.
• Fivera Consulting & Management Services Corp
• Flamingo Womens Pavilion LLC
• Robert Warren Fleigelman, M.D.
• Renalta D'Net Fleming, ATC, LAT
• Jersy Fleurant, APRN
• Wisner Fleurjean

• Non-Pharmacy Dispensing Site in Miramar, FL
• Providers in Miramar, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.