# SUNLIFE OBGYN SERVICES OF SOUTH FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578052767
- **Legal business name:** SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA
- **Authorized official:** DR. WINSTON O. BLISS MD (PRESIDENT)
- **Authorized official phone:** (954) 522-2979

## Contact information

- **Practice address:** 4101 NW 4TH ST STE 306, PLANTATION, FL 33317-2840
- **Practice address phone:** (954) 625-2229
- **Mailing address:** 4101 NW 4TH ST STE 306, PLANTATION, FL 33317-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018