PREMIERE PERINATAL ASSOCIATES
NPI 1417906561
Obstetrics & Gynecology - Maternal & Fetal Medicine in Ft Lauderdale, FL

Q: What is Premiere Perinatal Associates's NPI number?

The NPI number for Premiere Perinatal Associates is 1417906561. It was assigned to this organization in the NPPES registry on May 8, 2006.

Q: What is Premiere Perinatal Associates's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Active since May 08, 2006

200 NW 7TH AVE, PREMIERE PERINATAL ASSOCIATES, FT LAUDERDALE, FL 33311(954) 759-6789(919) 425-0478 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Premiere Perinatal Associates NPPES

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

PREMIERE PERINATAL ASSOCIATES (NPI 1417906561) is a healthcare organization registered as a maternal & fetal medicine in Ft Lauderdale, Florida and active in the NPI registry since May 2006. The organization lists Bertram Walls, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1417906561

Entity TypeOrganization

Primary Taxonomy207VM0101X

Legal Business NamePREMIERE PERINATAL ASSOCIATES

Location Address200 NW 7TH AVE, PREMIERE PERINATAL ASSOCIATESFt Lauderdale, FL 33311-9026

Mailing Address500 Se 17th St, Suite 100Ft Lauderdale, FL 33316-2547 · (919) 425-1565 · Fax (919) 425-0478

Phone(954) 759-6789

Fax(919) 425-0478

Organization SubpartNo

Authorized OfficialBertram WallsOwner/president · (954) 838-2371

Enumeration DateMay 8, 2006

Last NPPES UpdateSeptember 17, 2019

✔ NPI 1417906561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

License✔ Licensed in FL · ME43546

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

200 NW 7TH AVE, Ft Lauderdale, FL 33311

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Other Identifiers 1

Medicaid273189401FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

MARIA MAZZUCCO DMD

Dentist