# TOTAL WOMENS HEALTHCARE OF PLANTATION

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

## Provider details

- **NPI number:** 1316052632
- **Authorized official:** MR. JONATHAN D RALPH MD (PRESIDENT)
- **Authorized official phone:** (954) 791-2810

## Contact information

- **Practice address:** 333 NW 70TH AVE, STE 120, PLANTATION, FL 33317
- **Practice address phone:** (954) 791-2810
- **Practice address fax:** (954) 791-9810
- **Mailing address:** 333 NW 70TH AVE, STE 120, PLANTATION, FL 33317
- **Mailing address phone:** (954) 791-2810
- **Mailing address fax:** (954) 791-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME36825 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 11/28/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 005697 | AVMED | FL |
| 01 | — | 2258482 | AETNA | FL |
| 01 | — | 93814 | BCBS | FL |