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

Phoenix Obstetrics and Gynecology LLC

Organization Specialist · NPI 1902944382

Phoenix Obstetrics and Gynecology LLC is a Specialist in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone: (954) 355-5017
Fax: (954) 714-6335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME43546 (FL)

Record details

NPI number1902944382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bertrum Walls — President · (954) 355-5017
NPI enumeratedFebruary 1, 2007
Last updated in NPPESMay 22, 2009
Mailing address1600 S Andrews Ave, Rpicc Services, Ft Lauderdale, FL 33316-2510

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