Provider Demographics
NPI:1407123110
Name:CENTER FOR ADVANCED REPRODUCTIVE ENDOCRINOLOGY, SOUTH
Entity Type:Organization
Organization Name:CENTER FOR ADVANCED REPRODUCTIVE ENDOCRINOLOGY, SOUTH
Other - Org Name:C.A.R.E., SOUTH
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACOG
Authorized Official - Phone:954-584-2273
Mailing Address - Street 1:201 N PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1819
Mailing Address - Country:US
Mailing Address - Phone:954-584-2273
Mailing Address - Fax:954-320-4181
Practice Address - Street 1:201 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1819
Practice Address - Country:US
Practice Address - Phone:954-584-2273
Practice Address - Fax:954-320-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60217174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty