Provider Demographics
NPI:1497992689
Name:WOMENS HEALTH CENTERS OF FLORIDA, INC
Entity Type:Organization
Organization Name:WOMENS HEALTH CENTERS OF FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:850-496-0325
Mailing Address - Street 1:PO BOX 952816
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-2816
Mailing Address - Country:US
Mailing Address - Phone:321-363-4985
Mailing Address - Fax:321-363-1317
Practice Address - Street 1:430 WAYMONT CT
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6745
Practice Address - Country:US
Practice Address - Phone:321-363-4985
Practice Address - Fax:321-363-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-10
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8957207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267359200Medicaid
FLH95033Medicare UPIN