Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Phoenix Obstetrics and Gynecology LLC

Organization Specialist · NPI 1902944382

Phoenix Obstetrics and Gynecology LLC provides Specialist services 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 Not confirmed with CMS for 17 years — call before visiting
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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