Provider Demographics
NPI: | 1831429612 |
---|---|
Name: | PLANNED PARENTHOOD OF FLORIDA, INC. |
Entity type: | Organization |
Organization Name: | PLANNED PARENTHOOD OF FLORIDA, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | COO |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | MICHELLE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FOWLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 567-472-9990 |
Mailing Address - Street 1: | 2300 N FLORIDA MANGO RD |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST PALM BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33409-6416 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-848-6402 |
Mailing Address - Fax: | 561-848-4461 |
Practice Address - Street 1: | 681 NE 125 STREET |
Practice Address - Street 2: | |
Practice Address - City: | NORTH MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33161 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-621-0493 |
Practice Address - Fax: | 305-895-7763 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-12-30 |
Last Update Date: | 2025-07-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 602571 | 332900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332900000X | Suppliers | Non-Pharmacy Dispensing Site |