Provider Demographics
NPI: | 1558539346 |
---|---|
Name: | JUST FOR WOMEN BIRTH & HEALTH CENTER |
Entity Type: | Organization |
Organization Name: | JUST FOR WOMEN BIRTH & HEALTH CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | LISA |
Authorized Official - Middle Name: | MARIE |
Authorized Official - Last Name: | SANCHES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 561-881-9650 |
Mailing Address - Street 1: | 927 45TH ST |
Mailing Address - Street 2: | SUITE 103 |
Mailing Address - City: | WEST PALM BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33407-2450 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-881-9650 |
Mailing Address - Fax: | 561-881-9908 |
Practice Address - Street 1: | 927 45TH ST |
Practice Address - Street 2: | SUITE 103 |
Practice Address - City: | WEST PALM BEACH |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33407-2450 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-881-9650 |
Practice Address - Fax: | 561-881-9908 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-02-14 |
Last Update Date: | 2008-02-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Single Specialty |