PLANTATION PAVILION OB-GYN
NPI 1093126591
Obstetrics & Gynecology - Gynecology in Plantation, FL

Active since May 19, 2014
4330 W BROWARD BLVD, STE C, PLANTATION, FL 33317(954) 587-0351(954) 990-6464 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plantation Pavilion Ob-gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLANTATION PAVILION OB-GYN (NPI 1093126591) is a healthcare organization registered as a gynecology in Plantation, Florida and active in the NPI registry since May 2014. The organization lists Georges Edouard, Ob-gyn, as its authorized official.

NPPES Registry Identity

NPI1093126591
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePLANTATION PAVILION OB-GYN
Location Address4330 W BROWARD BLVD, STE CPlantation, FL 33317-3775
Mailing Address4330 W Broward Blvd, Ste CPlantation, FL 33317-3775 · (954) 587-0351 · Fax (954) 990-6464
Fax(954) 990-6464
Organization SubpartNo
Authorized OfficialGeorges EdouardOb-gyn · (954) 587-0351
Enumeration DateMay 19, 2014
NPI 1093126591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
4330 W BROWARD BLVD, Plantation, FL 33317

Other Identifiers 1

Medicaid650305871FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4330 W BROWARD BLVD
PLANTATION, FL 33317
Podiatrist
4330 W BROWARD BLVD, SUITE N
PLANTATION, FL 33317
Pediatrics (Pediatric Nephrology)
4330 W BROWARD BLVD, SUITE P
PLANTATION, FL 33317
Home Health
4330 W BROWARD BLVD, SUITE O
PLANTATION, FL 33317
Counselor (Addiction (Substance Use Disorder))
4330 W BROWARD BLVD, SUITE R
PLANTATION, FL 33317
Community/Behavioral Health
4330 W BROWARD BLVD, SUITE R
PLANTATION, FL 33317
Pain Medicine (Pain Medicine)
4330 W BROWARD BLVD, SUITE F
PLANTATION, FL 33317
Dentist (General Practice)
4330 W BROWARD BLVD, SUIT T
PLANTATION, FL 33317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plantation Pavilion Ob-Gyn's NPI number?

The NPI number for Plantation Pavilion Ob-Gyn is 1093126591. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Plantation Pavilion Ob-Gyn located?

Plantation Pavilion Ob-Gyn is located at 4330 W Broward Blvd Ste C, Plantation, FL 33317. The listed phone number is (954) 587-0351.

What is Plantation Pavilion Ob-Gyn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Plantation Pavilion Ob-Gyn was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.