WOMEN'S CARE FLORIDA LLC - NPI 1477135408 - Obstetrics & Gynecology in St Petersburg, FL

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207VX0201X and a focus in Gynecologic Oncology.

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About Women's Care Florida Llc NPPES

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

WOMEN'S CARE FLORIDA LLC (NPI 1477135408) is a healthcare organization registered as a gynecologic oncology in St Petersburg, Florida and active in the NPI registry since April 2021. The organization lists Ellen Michelle Bower, Coo, as its authorized official.

NPPES Registry Identity

NPI1477135408

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NameWOMEN'S CARE FLORIDA LLC

Location Address2191 9TH AVE N STE 120St Petersburg, FL 33713-7147

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033

Phone(727) 826-0795

Fax(727) 258-4863

Organization SubpartYes

Authorized OfficialEllen Michelle BowerCoo · (813) 286-2033

Enumeration DateApril 28, 2021

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1477135408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

2191 9TH AVE N STE 120, St Petersburg, FL 33713

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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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0945869

Womens Care Florida LLC · Saint Petersburg, FL

Expired · Jul 8, 2026

CLIA Number10D0945869

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2024

Certificate Expiration DateJuly 8, 2026

Laboratory DirectorMegan Indermaur

Laboratory Phone(727) 826-0795

Laboratory LocationWomens Care Florida LLC2191 9th Avenue North Suite 120, Saint Petersburg, FL 33713

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. STEVEN MARK MANDEL M.D.

Radiology (Diagnostic Radiology)