Organization
PHOENIX OBSTETRICS/GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BYRNE MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
200 NW 7TH AVE, FT LAUDERDALE, FL 33311-9026
(954) 759-6789
(919) 425-0478
Mailing address
13737 NOEL RD, DALLAS, TX 75240-1331
(469) 401-2386
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME39895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269096901
—
FL
Enumeration date
05/08/2006
Last updated
08/10/2019
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