Organization
MIRA WOMEN'S HEALTH AND MIDWIFERY
Active
Other names
Mira Women's Health and Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A KONSKER MD (CEO AND PHYSICIAN)
(561) 789-0559
Entity
Organization
Contact information
Practice address
1601 CLINT MOORE RD STE 210, BOCA RATON, FL 33487-5716
(561) 488-1801
(561) 451-1480
Mailing address
1601 CLINT MOORE RD STE 210, BOCA RATON, FL 33487-5716
(561) 488-1801
(561) 451-1480
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14278954880
—
FL
Enumeration date
07/05/2024
Last updated
09/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us