# MODERN TIMES WOMENS CARE PA

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

## Provider details

- **NPI number:** 1760555213
- **Authorized official:** DR. IDALIA TALAVERA M.D. (PRESIDENT)
- **Authorized official phone:** (954) 921-3090

## Contact information

- **Practice address:** 7050 NW 4TH ST, SUITE 201, PLANTATION, FL 33317-2247
- **Practice address phone:** (954) 791-3090
- **Practice address fax:** (954) 921-3166
- **Mailing address:** 7050 NW 4TH ST, SUITE 201, PLANTATION, FL 33317-2247
- **Mailing address phone:** (954) 791-3090
- **Mailing address fax:** (954) 921-3166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME85186 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 03/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 277741000 | — | FL |