Organization
FLORIDA WOMAN CARE ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WALKER (ENROLLMENT)
(561) 300-2410
Entity
Organization
Contact information
Practice address
240 SAN MARCO AVE, ST AUGUSTINE, FL 32084-2729
(904) 819-1500
(904) 810-1023
Mailing address
PO BOX 81798, CLEVELAND, OH 44181-0798
(561) 300-2410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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