Provider Demographics
NPI:1225108541
Name:NORTHWEST CENTER FOR INFERTILITY AND REPRODUCTIVE ENDOCRINOLOGY
Entity Type:Organization
Organization Name:NORTHWEST CENTER FOR INFERTILITY AND REPRODUCTIVE ENDOCRINOLOGY
Other - Org Name:IVF FLORIDA REPRODUCTIVE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BERVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-247-6247
Mailing Address - Street 1:400 N HIATUS RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-5214
Mailing Address - Country:US
Mailing Address - Phone:954-919-0400
Mailing Address - Fax:954-247-6288
Practice Address - Street 1:2960 N STATE ROAD 7
Practice Address - Street 2:SUITE 300
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5755
Practice Address - Country:US
Practice Address - Phone:954-247-6200
Practice Address - Fax:954-247-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty