Organization
FLORIDA WOMAN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KONSKER MD (PRESIDENT)
(561) 300-2410
Entity
Organization
Contact information
Practice address
52 TUSCAN WAY, ST AUGUSTINE, FL 32092-1850
(904) 819-1500
Mailing address
4205 W ATLANTIC AVE, SUITE C304, DELRAY BEACH, FL 33445-3901
(561) 300-2410
(561) 495-5408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001553555
—
FL
Enumeration date
02/24/2011
Last updated
02/24/2011
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