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PHOENIX OBSTERICS/GYNECOLOGY, LLC
NPI 1568411700
Obstetrics & Gynecology in Ft Lauderdale, FL

Active since May 06, 2006
500 SE 17TH ST, SUITE 100, FT LAUDERDALE, FL 33316(919) 425-1565(919) 425-0478 Get Directions Write a Review

NPPES record last updated: August 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Obsterics/gynecology, Llc NPPES

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

PHOENIX OBSTERICS/GYNECOLOGY, LLC (NPI 1568411700) is a healthcare organization registered as an obstetrics & gynecology in Ft Lauderdale, Florida and active in the NPI registry since May 2006. The organization lists Bertram Walls, President, as its authorized official.

NPPES Registry Identity

NPI1568411700
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePHOENIX OBSTERICS/GYNECOLOGY, LLC
Location Address500 SE 17TH ST, SUITE 100Ft Lauderdale, FL 33316-2547
Mailing Address3114 Croasdaile Dr Ste 200, Phoenix Obstetrics/gynecology, LlcDurham, NC 27705-2508 · (919) 425-1565 · Fax (919) 425-0478
Phone(919) 425-1565
Fax(919) 425-0478
Organization SubpartNo
Authorized OfficialBertram WallsPresident · (954) 838-2371
Enumeration DateMay 6, 2006
Last NPPES UpdateAugust 10, 2019
✔ NPI 1568411700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME43546
Definition
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.
500 SE 17TH ST, Ft Lauderdale, FL 33316
Open in Google Maps ↗

Other Identifiers 1

Medicaid269096903FL

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 Wellpoint.Insurance ›

Other Providers at the Same Location NPPES 8

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

MARTIN M ROCHE MD PA
Ophthalmology
500 SE 17TH ST, SUITE 100
FT LAUDERDALE, FL 33316
Broward County (954) 462-7558
STEVEN F BRAND DC PA
Chiropractor
500 SE 17TH ST, SUITE 220
FT LAUDERDALE, FL 33316
Broward County (954) 523-5289
PALLIATIVE CARE ASSOCIATES LLC
Family Medicine (Hospice and Palliative Medicine)
500 SE 17TH ST, 301
FT LAUDERDALE, FL 33316
Broward County (954) 636-1364
FLORIDA BRACING CENTERS INC
Orthotist
500 SE 17TH ST, SUITE 301
FORT LAUDERDALE, FL 33316
Broward County (954) 525-6700
DR. ADOLFO GONZALEZ-GARCIA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
500 SE 17TH ST, PREMIERE PERINATAL ASSOCIATES
FT LAUDERDALE, FL 33316
Broward County (954) 468-3080
SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC
Clinic/Center (Health Service)
500 SE 17TH ST, 200
FORT LAUDERDALE, FL 33316
Broward County (954) 906-0399
PALLIATIVE MEDICAL SPECIALTIES LLC
Family Medicine (Hospice and Palliative Medicine)
500 SE 17TH ST, SUITE 301
FORT LAUDERDALE, FL 33316
Broward County (954) 990-7038
MR. JAIME TINOCO ACUPUNCTURIST
Acupuncturist
500 SE 17TH ST, STE # 220
FORT LAUDERDALE, FL 33316
Broward County (954) 682-5814

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 Phoenix Obsterics/Gynecology, LLC's NPI number?

The NPI number for Phoenix Obsterics/Gynecology, LLC is 1568411700. It was assigned to this organization in the NPPES registry on May 6, 2006.

Where is Phoenix Obsterics/Gynecology, LLC located?

Phoenix Obsterics/Gynecology, LLC is located at 500 SE 17th St Suite 100, Ft Lauderdale, FL 33316. The listed phone number is (919) 425-1565.

What is Phoenix Obsterics/Gynecology, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Phoenix Obsterics/Gynecology, LLC accept?

Health plans from Wellpoint list Phoenix Obsterics/Gynecology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Obsterics/Gynecology, LLC was last updated on August 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.