Provider Demographics
NPI:1326898719
Name:BLISS FERTILITY CENTER
Entity Type:Organization
Organization Name:BLISS FERTILITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURUSWAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-210-4596
Mailing Address - Street 1:2717 POINSETTIA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-5503
Mailing Address - Country:US
Mailing Address - Phone:561-210-4596
Mailing Address - Fax:
Practice Address - Street 1:2717 POINSETTIA AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-5503
Practice Address - Country:US
Practice Address - Phone:561-210-4596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLISS BIRTH & WELLNESS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty