Organization
BRIDGEWATER WOMEN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEON BRIDGEWATER MD (PRESIDENT)
(954) 671-0111
Entity
Organization
Contact information
Practice address
16782 NW 67TH AVE, HIALEAH, FL 33015-4202
(954) 671-0111
(954) 671-0070
Mailing address
3071 NW 70TH TER, MIAMI, FL 33147-6740
(305) 458-1913
(954) 671-0070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME63506
FL
Other
Enumeration date
08/15/2009
Last updated
08/15/2009
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