Provider Demographics
NPI:1023256096
Name:WOMENS HEALTH ASSOCIATES OF HERNANDO PLC
Entity type:Organization
Organization Name:WOMENS HEALTH ASSOCIATES OF HERNANDO PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:MARLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-556-5241
Mailing Address - Street 1:PO BOX 5189
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611-5189
Mailing Address - Country:US
Mailing Address - Phone:352-556-5241
Mailing Address - Fax:352-556-5244
Practice Address - Street 1:11373 CORTEZ BLVD
Practice Address - Street 2:SUITE 408
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5414
Practice Address - Country:US
Practice Address - Phone:352-556-5241
Practice Address - Fax:352-556-5244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 74253207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 74253OtherMEDICAL LICENSE