Womens Care Associates LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

76129 Issued in FL

Legal business name

WOMENS CARE ASSOCIATES LLC

Practice address

830 Century Medical Dr
Suite B
Titusville, FL 32796-2149

Phone

(321) 383-3203

Fax

(321) 383-3060

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hae Soo Lim, M.D.

Title

Manager

Phone

(321) 269-6056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1881877512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CENTURY MEDICAL DR",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962149",
            "telephone_number": "321-383-3203",
            "fax_number": "321-383-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CENTURY MEDICAL DR",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962149",
            "telephone_number": "321-383-3203",
            "fax_number": "321-383-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "HAE SOO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-269-6056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "76129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256547100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earnest Hayne Wilson Jr., PHARMACIST
• Abigail Ruth Winchester, OTD, OTR/L
• Cheyenne Starr Wisdom
• Scott Wiseman, M.S.
• Kendra Deshea Wolford
• Paul Wong, MD
• Barbara Ann Woo Daly, DC
• Carolyn Elaine Wood, LMT
• Leeann Wood
• Woodford Dialysis, LLC (Titus Landing Home Training)

• Obstetrics & Gynecology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.