Provider Demographics
NPI:1407313232
Name:WOMEN SPECIAL CARE ASSOCIATES PA
Entity Type:Organization
Organization Name:WOMEN SPECIAL CARE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-300-7330
Mailing Address - Street 1:21438 SAINT ANDREWS GRAND CIR # 4
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8649
Mailing Address - Country:US
Mailing Address - Phone:786-300-7330
Mailing Address - Fax:954-505-4491
Practice Address - Street 1:1 NE 167TH ST
Practice Address - Street 2:
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3402
Practice Address - Country:US
Practice Address - Phone:786-300-7330
Practice Address - Fax:772-264-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty