Provider Demographics
NPI:1942342985
Name:MEDICAL CARE FOR WOMEN LLC
Entity Type:Organization
Organization Name:MEDICAL CARE FOR WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE-CARMELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIBURD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-696-9400
Mailing Address - Street 1:1190 NW 95TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2063
Mailing Address - Country:US
Mailing Address - Phone:305-696-9400
Mailing Address - Fax:305-696-9407
Practice Address - Street 1:1190 NW 95TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2064
Practice Address - Country:US
Practice Address - Phone:305-696-9400
Practice Address - Fax:305-696-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89786207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004364900Medicaid
FLAC038Medicare PIN