Organization
SUNLIFE OBGYN SERVICES OF SOUTH FLORIDA, LLC
Active
Parent organization
SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA
Authorized official
DR. WINSTON O. BLISS MD (PRESIDENT)
(954) 522-2979
Entity
Organization
Contact information
Practice address
4101 NW 4TH ST STE 306, PLANTATION, FL 33317-2840
(954) 625-2229
Mailing address
4101 NW 4TH ST STE 306, PLANTATION, FL 33317-2840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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