Provider Demographics
NPI:1790447977
Name:ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC
Entity Type:Organization
Organization Name:ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-442-0445
Mailing Address - Street 1:2106 DREW STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3238
Mailing Address - Country:US
Mailing Address - Phone:727-442-0445
Mailing Address - Fax:727-447-3797
Practice Address - Street 1:1545 HUFFINGHAM ROAD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-2721
Practice Address - Country:US
Practice Address - Phone:904-731-2755
Practice Address - Fax:904-730-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty