EXODUS WOMEN'S CENTER, INC. (NPI# 1336306372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336306372 |
| Entity Type | Organization |
| Organization Name | EXODUS WOMEN'S CENTER, INC. |
| Practice Address |
215 Imperial Blvd Ste B2 Lakeland FL 33803-4689 |
| Mailing Address |
888 S Parsons Ave Brandon FL 33511-6007 |
| Practice Telephone | 8136842229 |
| Mailing Telephone | 8136842229 |
| Mailing Fax Number | 8136541384 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2019-06-02 |
| Authorized Official Name | MS. LINDA S. MAYO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8136842229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057571220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209257 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 4503 N 22nd St, Tampa, FL 33610-6201 | 2014-10-01 |
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1215280003 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 2550 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33607-6302 | 2012-10-18 |
| 1376820720 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 514 Sugar Creek Dr, Plant City, FL 33563-4080 | 2011-11-14 |
| 1477710242 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 2701 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6303 | 2008-05-20 |
| 1922542810 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1501 1st St S, Winter Haven, FL 33880-4307 | 2016-12-12 |
| 1699108183 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1689904633 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1513 W Busch Blvd, Tampa, FL 33612-7603 | 2010-01-13 |
| 1063679009 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 14710 Bruce B Downs Blvd, Tampa, FL 33613-2800 | 2008-05-19 |
| 1134214380 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2006-10-04 |
| Street Address |
215 IMPERIAL BLVD STE B2 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-4689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322684 | Innovative Gynecology & Obstetrics, Pa | Obstetrics & Gynecology | 1718 Mockingbird Ln, Lakeland, FL 33801-5948 | 2016-08-30 |
| 1134449556 | Virginia Pagani | Obstetrics & Gynecology | 10340 Old Dade City Rd, Lakeland, FL 33810-8048 | 2010-06-08 |
| 1083637540 | Gregory Alan Damery | Obstetrics & Gynecology | 515 Channing Rd, Lakeland, FL 33805 | 2006-07-25 |
| 1972533594 | Himagiri Ravi | Obstetrics & Gynecology | 1045 E County Road 540a, Lakeland, FL 33813-3735 | 2006-07-03 |
| 1427025204 | Jennifer M Nixon | Obstetrics & Gynecology | 1733 Lakeland Hills Blvd, Lakeland, FL 33805-3016 | 2006-03-01 |
| 1205809639 | Pamela Dawn Schwartz | Obstetrics & Gynecology | 2140 E County Road 540a, Lakeland, FL 33813-3740 | 2006-02-08 |
| 1811968209 | Ezer A Ojeda | Obstetrics & Gynecology | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2006-02-01 |
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1790782365 | Natalie Adsuar | Obstetrics & Gynecology | 1739 Laurel Glen Pl, Lakeland, FL 33803-5419 | 2005-06-28 |
| 1821402868 | Samantha Joann Curtis | Obstetrics & Gynecology | 1755 N Florida Ave, Lakeland, FL 33805 | 2014-06-18 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.