# FLORIDA WOMAN CARE, LLC

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

## Provider details

- **NPI number:** 1962793356
- **Authorized official:** KENNETH A KONSKER MD (PRESIDENT)
- **Authorized official phone:** (561) 300-2410

## Contact information

- **Practice address:** 836 PRUDENTIAL DR, SUITE 803, JACKSONVILLE, FL 32207-8334
- **Practice address phone:** (904) 399-5787
- **Practice address fax:** (904) 396-4252
- **Mailing address:** 4205 W ATLANTIC AVE, SUITE C-304, 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:** 04/20/2011
- **Last updated:** 04/20/2011
