Provider Demographics
NPI:1790801587
Name:NORTH FLORIDA WOMEN'S CARE, P.A.
Entity Type:Organization
Organization Name:NORTH FLORIDA WOMEN'S CARE, P.A.
Other - Org Name:NORTH FLORIDA WOMEN'S CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBSH
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:850-877-7241
Mailing Address - Street 1:1401 CENTERVILLE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4647
Mailing Address - Country:US
Mailing Address - Phone:850-877-7241
Mailing Address - Fax:850-877-1338
Practice Address - Street 1:1401 CENTERVILLE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4647
Practice Address - Country:US
Practice Address - Phone:850-877-7241
Practice Address - Fax:850-877-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99644Medicare PIN
FLW13224Medicare UPIN