Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Obsterics/Gynecology, LLC

Organization Obstetrics & Gynecology Physician · NPI 1568411700

Phoenix Obsterics/Gynecology, LLC is an Obstetrics & Gynecology Physician in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 SE 17th St Ste 100
Ft Lauderdale, FL 33316-2547
Phone: (919) 425-1565
Fax: (919) 425-0478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME43546 (FL)

Record details

NPI number1568411700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bertram Walls — President · (954) 838-2371
NPI enumeratedMay 6, 2006
Last updated in NPPESAugust 10, 2019
Mailing address3114 Croasdaile Dr Ste 200, Phoenix Obstetrics/Gynecology, Llc, Durham, NC 27705-2508

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