Bridgewater Women Center, Llc

NPI 1043442676 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043442676
Enumeration Date 08/15/2009
Last Updated 08/15/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RICHARD LEON RICHARD
Position PRESIDENT
Phone (954) 671-0111
Fax (954) 671-0070
Practice Location
16782 NW 67TH AVE
HIALEAH FL, 33015-4202, US
Phone (954) 671-0111
Fax (954) 671-0070
Business Location
3071 NW 70TH TER
MIAMI FL, 33147-6740, US
Phone (305) 458-1913
Fax (954) 671-0070
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME63506
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According to our database, Bridgewater Women Center, Llc NPI is 1043442676, taxonomy code is 207V00000X and license number is ME63506, license state is located at Florida. Bridgewater Women Center, Llc physically located at 16782 Nw 67th Ave, Hialeah FL, 33015-4202. NPI Number 1033115704 has the healthcare provider type.

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1043442676 NPI number is provided on an as is basis without warranty of any kind. 1043442676 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgewater Women Center, Llc are for informational purposes only.