FLORIDA WOMAN CARE LLC (NPI# 1356648547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356648547 |
| Entity Type | Organization |
| Organization Name | FLORIDA WOMAN CARE LLC |
| Practice Address |
836 Prudential Dr Suite 1506 Jacksonville FL 32207-8342 |
| Mailing Address |
4205 W Atlantic Ave Suite C304 Delray Beach FL 33445-3901 |
| Practice Telephone | 9043460050 |
| Practice Fax Number | 9043079385 |
| Mailing Telephone | 5613002410 |
| Mailing Fax Number | 5614955408 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | DR. KENNETH KONSKER (PRESIDENT) |
| Authorized Official Telephone | 5613002410 |
| Authorized Official Credential | MD |
| 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 | 001553547 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689971871 | Florida Woman Care LLC | Obstetrics & Gynecology | 960 N Collier Blvd, Suite 205, Marco Island, FL 34145-2705 | 2011-02-24 |
| 1750689204 | Florida Woman Care LLC | Obstetrics & Gynecology | 7100 W 20th Ave, Suite 506, Hialeah, FL 33016-1897 | 2011-03-08 |
| 1659679108 | Florida Woman Care LLC | Obstetrics & Gynecology | 1010 Jeffords St, Clearwater, FL 33756-4024 | 2011-03-08 |
| 1396043840 | Florida Woman Care LLC | Obstetrics & Gynecology | 501 Nw Lake Whitney Pl, Suite 106, St Lucie West, FL 34986-1615 | 2011-03-08 |
| 1861790313 | Florida Woman Care LLC | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Suite 205, Naples, FL 34109-0473 | 2011-03-08 |
| 1215235767 | Florida Woman Care LLC | Obstetrics & Gynecology | 1890 Sw Health Pkwy, Naples, FL 34109-0473 | 2011-03-08 |
| 1902103195 | Florida Woman Care LLC | Obstetrics & Gynecology | 5741 Bee Ridge Rd, Suite 390, Sarasota, FL 34233-5082 | 2011-02-24 |
| 1295032480 | Florida Woman Care LLC | Obstetrics & Gynecology | 7150 W 20th Ave, Suite 501, Hialeah, FL 33016-5534 | 2011-02-24 |
| 1336446525 | Florida Woman Care LLC | Obstetrics & Gynecology | 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 | 2011-02-24 |
| 1114224300 | Florida Woman Care LLC | Obstetrics & Gynecology | 3627 University Blvd S, Suite 340, Jacksonville, FL 32216-4294 | 2011-02-24 |
| Street Address |
836 PRUDENTIAL DR SUITE 1506 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416550 | Joseph David Allen | Physician Assistant | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8334 | 2005-06-13 |
| 1245877513 | Monica Pombier | Nurse Practitioner | 836 Prudential Dr, Jacksonville, FL 32207 | 2019-12-05 |
| 1396110581 | Jena Joray Snipes | Nurse Practitioner | 836 Prudential Dr, Ste 1405, Jacksonville, FL 32207-8334 | 2015-12-14 |
| 1801266754 | Melanie Barriger Wilson | Nurse Practitioner | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2015-10-05 |
| 1477932002 | Maggie Davis | Nurse Practitioner | 836 Prudential Dr, Suite 1800, Jacksonville, FL 32207-8334 | 2015-05-28 |
| 1114306024 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-26 |
| 1811375918 | Candice Joy Stephenson | Physician Assistant | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-11 |
| 1467882340 | Molly Mckee Turner | Nurse Practitioner | 836 Prudential Dr, Suite 1103, Jacksonville, FL 32207-8334 | 2013-11-14 |
| 1285907311 | Baptist Cardiology, Inc. | Internal Medicine | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8334 | 2012-02-21 |
| 1689962375 | Angela Marie Kaeding | Nurse Practitioner | 836 Prudential Dr, 1800, Jacksonville, FL 32207-8334 | 2011-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 |
|---|---|---|---|---|
| 1396108528 | Michelle Melanson | Obstetrics & Gynecology | 14546 Old Saint Augustine Rd Ste 305-311, Jacksonville, FL 32258-5468 | 2016-04-04 |
| 1316387947 | Alexander David Raw | Obstetrics & Gynecology | 1600 W Walnut St Bldg 3, Jacksonville, IL 62650-1136 | 2013-06-27 |
| 1912260613 | Paulami Guha | Obstetrics & Gynecology | 836 Prudential Dr Ste 1600, Jacksonville, FL 32207 | 2012-06-19 |
| 1689963696 | Dawn M Mormak | Obstetrics & Gynecology | 836 Prudential Dr Ste 1506, Jacksonville, FL 32207-8342 | 2011-03-30 |
| 1710210745 | Niamh A Condon | Obstetrics & Gynecology | 653-1 W 8th St # L-17, Jacksonville, FL 32209-6511 | 2009-09-09 |
| 1356531396 | Coastal Ob Gyn and Infertility | Obstetrics & Gynecology | 114a Memorial Dr, Jacksonville, NC 28546-6328 | 2007-07-26 |
| 1871614057 | Aida A. Malonzo | Obstetrics & Gynecology | 1512 Palm Ave, Jacksonville, FL 32207-2916 | 2007-04-03 |
| 1487717864 | Geoffrey Gillen | Obstetrics & Gynecology | 653 W 8th St # L17, Jacksonville, FL 32209-6511 | 2006-12-18 |
| 1306916580 | Jason R Thompson | Obstetrics & Gynecology | 6885 Belfort Oaks Place Ste 210, Jacksonville, FL 32216 | 2006-11-08 |
| 1154400554 | Charles Burk | Obstetrics & Gynecology | 203 Nacogdoches St Ste 210, Jacksonville, TX 75766-2455 | 2006-11-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.