# WOMEN'S HEALTHCARE OF SW FLORIDA, LLC

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

## Provider details

- **NPI number:** 1700130721
- **Authorized official:** MS. CARYLE LYNE CLYATT ARNP (OFFICER)
- **Authorized official phone:** (239) 939-1999

## Contact information

- **Practice address:** 7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
- **Practice address phone:** (239) 939-1999
- **Practice address fax:** (239) 939-4935
- **Mailing address:** 7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
- **Mailing address phone:** (239) 939-1999
- **Mailing address fax:** (239) 939-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME59299 | FL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | ME92164 | FL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 08/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008470600 | — | FL |