EXODUS WOMEN'S CENTER, INC. (NPI# 1902209257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902209257 |
| Entity Type | Organization |
| Organization Name | EXODUS WOMEN'S CENTER, INC. |
| Practice Address |
4503 N 22nd St Tampa FL 33610-6201 |
| Mailing Address |
888 S Parsons Ave Brandon FL 33511-6007 |
| Practice Telephone | 8136842229 |
| Mailing Telephone | 8136842229 |
| Mailing Fax Number | 8136541384 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2019-06-02 |
| Authorized Official Name | MS. LINDA S. MAYO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8136842229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057571219 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1215280003 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 2550 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33607-6302 | 2012-10-18 |
| 1376820720 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 514 Sugar Creek Dr, Plant City, FL 33563-4080 | 2011-11-14 |
| 1477710242 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 2701 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6303 | 2008-05-20 |
| 1336306372 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689 | 2008-05-19 |
| 1922542810 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1501 1st St S, Winter Haven, FL 33880-4307 | 2016-12-12 |
| 1699108183 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1689904633 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1513 W Busch Blvd, Tampa, FL 33612-7603 | 2010-01-13 |
| 1063679009 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 14710 Bruce B Downs Blvd, Tampa, FL 33613-2800 | 2008-05-19 |
| 1134214380 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2006-10-04 |
| Street Address |
4503 N 22ND ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459563 | Tampa Bay Premier Obgyn Pllc | Obstetrics & Gynecology | 2727 W Dr Mlk Blvd Ste 630, Tampa, FL 33607-6399 | 2019-04-02 |
| 1033512264 | Tampa Obstetrics, P.a. | Obstetrics & Gynecology | 4503 North 22nd Street, Tampa, FL 33610-6201 | 2014-10-02 |
| 1710388814 | Ana Maria Fraguada | Obstetrics & Gynecology | 3450 E Fletcher Ave Ste 110, Tampa, FL 33613-4603 | 2014-09-08 |
| 1245659010 | Pawan Kumar Rattan | Obstetrics & Gynecology | 612 E Davis Blvd, Tampa, FL 33606-3922 | 2014-04-09 |
| 1356760359 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 | 2014-04-08 |
| 1124459326 | Michael Fernandez | Obstetrics & Gynecology | 13806 Khilani Ct, Tampa, FL 33624-6919 | 2013-12-12 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| 1992140677 | Wilfredo Nicolas Herrera | Obstetrics & Gynecology | 2727 W Dr. Mlk Jr Blvd, Ste 630, Tampa, FL 33607 | 2013-05-08 |
| 1912244831 | William Larry Capps | Obstetrics & Gynecology | 577 Luzon Ave, Tampa, FL 33606-3623 | 2013-01-11 |
| 1235482027 | Tampa Obstetrics, P.a. | Obstetrics & Gynecology | 2550 W. Mlk Jr. Blvd., Suite A, Tampa, FL 33607 | 2012-10-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.