Provider Demographics
NPI:1205295599
Name:WOMENS' HEALTH HOSPITALISTS, LLC
Entity type:Organization
Organization Name:WOMENS' HEALTH HOSPITALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DESIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-493-2889
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:4030 W BOY SCOUT BLVD STE 800
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5713
Practice Address - Country:US
Practice Address - Phone:813-286-0333
Practice Address - Fax:813-282-1806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOMEN'S CARE FLORIDA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-16
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty