Organization Active NPI

Womens Wellness Center of South Florida LLC

  • Obstetrics & Gynecology Physician
  • Coconut Creek, FL
National Provider Identifier
1962454132
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS WELLNESS CENTER OF SOUTH FLORIDA LLC
Practice address
3850 Coconut Creek Pkwy
Suite 1
Coconut Creek, FL 33066-1600
Phone
(954) 984-8892
Fax
(954) 984-8810
NPI assigned
May 16, 2006
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Tara Ann Solomon, MDNPI 1407819808
Title
President
Phone
(954) 984-8892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X FL Primary

Addresses

Primary practice location

3850 Coconut Creek Pkwy
Suite 1
Coconut Creek, FL 33066-1600

Mailing address

3850 Coconut Creek Pkwy
Suite 1
Coconut Creek, FL 33066-1600
Phone (954) 984-8892

Other identifiers 1

IdentifierTypeStateIssuer
0728706OtherFLPARITY HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060612000123 FL Part B Supplier - Clinic/Group Practice 7315959327 Receives reassigned benefits from 1 practitioner
Practice locations: Coconut Creek, FL

National Provider Directory

National Provider Directory

Locations

3850 Coconut Creek Pkwy
Ste 1
Coconut Creek, FL 33066
Phone (954) 973-9222

5901 Colonial Dr
Ste 303
Margate, FL 33063
Phone (954) 281-8891

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1962454132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 COCONUT CREEK PKWY",
            "address_2": "SUITE 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661600",
            "telephone_number": "954-984-8892",
            "fax_number": "954-984-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 COCONUT CREEK PKWY",
            "address_2": "SUITE 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661600",
            "telephone_number": "954-984-8892",
            "fax_number": "954-984-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS WELLNESS CENTER OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-984-8892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARITY HEALTHCARE",
            "identifier": "0728706",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.