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

Plantation Pavilion Ob-Gyn

Organization Gynecology Physician · NPI 1093126591

Plantation Pavilion Ob-Gyn is a Gynecology Physician in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

4330 W Broward Blvd Ste C
Plantation, FL 33317-3775
Phone: (954) 587-0351
Fax: (954) 990-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X (FL)

Record details

NPI number1093126591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Georges Edouard — Ob-Gyn · (954) 587-0351
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014
Mailing address4330 W Broward Blvd, Ste C, Plantation, FL 33317-3775

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