Organization
BIRTHING CENTER OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI ELAINE MCCANN MW (PRESIDENT)
(305) 245-3750
Entity
Organization
Contact information
Practice address
646 W PALM DR, STE 300, FLORIDA CITY, FL 33034-3208
(305) 245-3750
(305) 245-3755
Mailing address
646 W PALM DR, STE 300, FLORIDA CITY, FL 33034-3208
(305) 245-3750
(305) 245-3755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170351
WELLCARE
FL
01
—
FG47
AMERIGROUP
FL
01
—
M058111
PMP MEDICAID
FL
01
—
SG067395
VISTA HEALTH PLAN
FL
Enumeration date
09/26/2006
Last updated
08/22/2020
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