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Organization

FLORIDA WOMAN CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH A KONSKER MD (PRESIDENT)
(561) 300-2410
Entity
Organization

Contact information

Practice address
50 CYPRESS POINT PKWY, PALM COAST, FL 32164-2500
(904) 819-1500
(904) 810-1023
Mailing address
4205 W ATLANTIC AVE, SUITE C-304, 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
001553553
FL
Enumeration date
05/05/2011
Last updated
05/05/2011
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