Provider Demographics
NPI:1609022771
Name:ALL WOMEN'S HEALTH CENTER, INC.
Entity type:Organization
Organization Name:ALL WOMEN'S HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CONTRACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARISELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARENGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-442-0445
Mailing Address - Street 1:4131 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8229
Mailing Address - Country:US
Mailing Address - Phone:800-736-6656
Mailing Address - Fax:727-321-8433
Practice Address - Street 1:4131 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8229
Practice Address - Country:US
Practice Address - Phone:800-736-6656
Practice Address - Fax:727-321-8433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty