# BRIDGEWATER WOMEN CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043442676
- **Authorized official:** DR. RICHARD LEON BRIDGEWATER MD (PRESIDENT)
- **Authorized official phone:** (954) 671-0111

## Contact information

- **Practice address:** 16782 NW 67TH AVE, HIALEAH, FL 33015-4202
- **Practice address phone:** (954) 671-0111
- **Practice address fax:** (954) 671-0070
- **Mailing address:** 3071 NW 70TH TER, MIAMI, FL 33147-6740
- **Mailing address phone:** (305) 458-1913
- **Mailing address fax:** (954) 671-0070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME63506 | FL | Yes |

## Other

- **Enumeration date:** 08/15/2009
- **Last updated:** 08/15/2009