# BIRTHING CENTER OF SOUTH FLORIDA

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

## Provider details

- **NPI number:** 1972604130
- **Authorized official:** JONI ELAINE MCCANN MW (PRESIDENT)
- **Authorized official phone:** (305) 245-3750

## Contact information

- **Practice address:** 646 W PALM DR, STE 300, FLORIDA CITY, FL 33034-3208
- **Practice address phone:** (305) 245-3750
- **Practice address fax:** (305) 245-3755
- **Mailing address:** 646 W PALM DR, STE 300, FLORIDA CITY, FL 33034-3208
- **Mailing address phone:** (305) 245-3750
- **Mailing address fax:** (305) 245-3755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 315 | FL | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 170351 | WELLCARE | FL |
| 01 | — | FG47 | AMERIGROUP | FL |
| 01 | — | M058111 | PMP MEDICAID | FL |
| 01 | — | SG067395 | VISTA HEALTH PLAN | FL |