# FLORIDA WOMAN CARE LLC

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

## Provider details

- **NPI number:** 1649577834
- **Authorized official:** DR. KENNETH KONSKER MD (PRESIDENT)
- **Authorized official phone:** (561) 300-2410

## Contact information

- **Practice address:** 2402 FRIST BLVD, SUITE 202, FORT PIERCE, FL 34950-4800
- **Practice address phone:** (772) 429-3400
- **Practice address fax:** (772) 370-3261
- **Mailing address:** 4205 W ATLANTIC AVE, SUITE C304, DELRAY BEACH, FL 33445-3901
- **Mailing address phone:** (561) 300-2410
- **Mailing address fax:** (561) 495-5408

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 03/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001553544 | — | FL |