Basic Information
| Provider Information | |||||||||
| NPI: | 1649830522 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALL WOMEN CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3122 SW 189TH AVE | ||||||||
| Address2: | |||||||||
| City: | MIRAMAR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330295857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7862235369 | ||||||||
| FaxNumber: | 9548855995 | ||||||||
| Practice Location | |||||||||
| Address1: | 1951 SW 172ND AVE STE 210 | ||||||||
| Address2: | |||||||||
| City: | MIRAMAR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330295613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9548855030 | ||||||||
| FaxNumber: | 9548855995 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2019 | ||||||||
| LastUpdateDate: | 06/13/2019 | ||||||||
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| AuthorizedOfficialLastName: | MARTINEZ | ||||||||
| AuthorizedOfficialFirstName: | MIGUEL | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | DELEGATE | ||||||||
| AuthorizedOfficialTelephone: | 7862235369 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.