Basic Information
| Provider Information | |||||||||
| NPI: | 1881051480 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GLOBAL OB/GYN CENTERS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10067 PINES BLVD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544307777 | ||||||||
| FaxNumber: | 9544303667 | ||||||||
| Practice Location | |||||||||
| Address1: | 10067 PINES BLVD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544307777 | ||||||||
| FaxNumber: | 9544303667 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2016 | ||||||||
| LastUpdateDate: | 01/27/2016 | ||||||||
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| AuthorizedOfficialLastName: | BEJAR | ||||||||
| AuthorizedOfficialFirstName: | JACKIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9544307777 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | ARNP9175952 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Midwife |
No ID Information.