Provider Demographics
NPI:1417934837
Name:ABSOLUTE HEALTH CARE FOR WOMEN OF ALL AGES PA
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH CARE FOR WOMEN OF ALL AGES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:FELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-747-3777
Mailing Address - Street 1:210 JUPITER LAKES BLVD STE 4101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7190
Mailing Address - Country:US
Mailing Address - Phone:561-747-3777
Mailing Address - Fax:561-746-4720
Practice Address - Street 1:210 JUPITER LAKES BLVD STE 4101
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7190
Practice Address - Country:US
Practice Address - Phone:561-747-3777
Practice Address - Fax:561-746-4720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME32414174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD55867Medicare UPIN
FL50854Medicare ID - Type Unspecified