| Nature Coast Womens Care Llc | |
|
2473 Care Dr Suite 102 Tallahassee FL 32308-9814 | |
| (850) 219-0011 | |
| (850) 219-0077 |
| Full Name | Nature Coast Womens Care Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 2473 Care Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Chukwuma M Okoroji (PRESIDENT) |
| Authorized Official Contact | 8503206054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nature Coast Womens Care Llc 2473 Care Dr Suite 102 Tallahassee FL 32308-9814 Ph: (850) 320-6054 | Nature Coast Womens Care Llc 2473 Care Dr Suite 102 Tallahassee FL 32308-9814 Ph: (850) 219-0011 |
| NPI Number | 1205104478 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 04/28/2014 |
| Medicare PECOS PAC ID | 3072770056 |
|---|---|
| Medicare Enrollment ID | O20120202000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205104478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| Provider Name | Chukwuma Okoroji |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356335178 PECOS PAC ID: 1355309980 Enrollment ID: I20090922000717 |
| Provider Name | Miles Eugene Byrd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366605073 PECOS PAC ID: 7618250630 Enrollment ID: I20170606001794 |
| Provider Name | Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730568601 PECOS PAC ID: 8325316102 Enrollment ID: I20170620001778 |
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