GYNDOC, LLC – NPI #1639474505
Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
GYNDOC, LLC is a provider located in CRESTVIEW, FL. NPPES has assigned the NPI number 1639474505 to GYNDOC, LLC on January 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology
The NPI profile was previously updated about 15 years ago on May 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GYNDOC, LLC below.
NPI Profile for
GYNDOC, LLC
(more than 15 years ago)
SUITE 109
CRESTVIEW, FL 32539-5326 Phone: (850) 683-1100 Fax: (850) 683-0599
PRESIDENT
Phone: (334) 858-2304
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VG0400X - Obstetrics & Gynecology / Gynecology (Primary) |
FL | ME65594 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.