Provider Demographics
NPI:1932558376
Name:FLORIDA WOMEN CARE
Entity Type:Organization
Organization Name:FLORIDA WOMEN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:SILFEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-338-9811
Mailing Address - Street 1:1000 NW 9TH CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2268
Mailing Address - Country:US
Mailing Address - Phone:561-338-9811
Mailing Address - Fax:561-750-1169
Practice Address - Street 1:1000 NW 9TH CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2268
Practice Address - Country:US
Practice Address - Phone:561-338-9811
Practice Address - Fax:561-750-1169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMEOO57973261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372081100Medicaid
FLBC538Medicare PIN