Provider Demographics
NPI:1720044944
Name:A PLACE FOR WOMEN IN PASCO COUNTY, INC.
Entity Type:Organization
Organization Name:A PLACE FOR WOMEN IN PASCO COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-780-7111
Mailing Address - Street 1:38030 DAUGHTERY RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-1375
Mailing Address - Country:US
Mailing Address - Phone:813-780-7111
Mailing Address - Fax:813-780-7066
Practice Address - Street 1:38030 DAUGHTERY RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1375
Practice Address - Country:US
Practice Address - Phone:813-780-7111
Practice Address - Fax:813-780-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3007Medicare ID - Type Unspecified