Provider Demographics
NPI:1649565888
Name:QUALITY CARE FOR WOMEN LLC
Entity Type:Organization
Organization Name:QUALITY CARE FOR WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO-SPASIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-762-7031
Mailing Address - Street 1:621 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1722
Mailing Address - Country:US
Mailing Address - Phone:954-762-7031
Mailing Address - Fax:
Practice Address - Street 1:601 N FLAMINGO RD
Practice Address - Street 2:SUITE 317
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1015
Practice Address - Country:US
Practice Address - Phone:954-302-9078
Practice Address - Fax:877-261-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 99385207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05558OtherBC BS OF FL
FL280762900Medicaid
FLAJ838ZMedicare PIN