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PHOENIX OBSTETRICS AND GYNECOLOGY LLC
NPI 1902944382
Specialist in Ft Lauderdale, FL

Active since February 01, 2007
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316(954) 355-5017(954) 714-6335 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Obstetrics And Gynecology Llc NPPES

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

PHOENIX OBSTETRICS AND GYNECOLOGY LLC (NPI 1902944382) is a healthcare organization registered as a specialist in Ft Lauderdale, Florida and active in the NPI registry since February 2007. The organization lists Bertrum Walls, President, as its authorized official.

NPPES Registry Identity

NPI1902944382
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHOENIX OBSTETRICS AND GYNECOLOGY LLC
Location Address1600 S ANDREWS AVEFt Lauderdale, FL 33316-2510
Mailing Address1600 S Andrews Ave, Rpicc ServicesFt Lauderdale, FL 33316-2510 · (954) 355-5017 · Fax (919) 425-0478
Phone(954) 355-5017
Fax(954) 714-6335
Organization SubpartNo
Authorized OfficialBertrum WallsPresident · (954) 355-5017
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMay 22, 2009
✔ NPI 1902944382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME43546
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1600 S ANDREWS AVE, Ft Lauderdale, FL 33316
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Other Identifiers 2

Medicaid269096902FL
Medicare PINK7041FL

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 AvMed, Wellpoint.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.

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

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 Obstetrics And Gynecology LLC's NPI number?

The NPI number for Phoenix Obstetrics And Gynecology LLC is 1902944382. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Phoenix Obstetrics And Gynecology LLC located?

Phoenix Obstetrics And Gynecology LLC is located at 1600 S Andrews Ave, Ft Lauderdale, FL 33316. The listed phone number is (954) 355-5017.

What is Phoenix Obstetrics And Gynecology LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Phoenix Obstetrics And Gynecology LLC accept?

Health plans from AvMed and Wellpoint list Phoenix Obstetrics And 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 Obstetrics And Gynecology LLC was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.