Provider Demographics
NPI:1588965024
Name:KOTZEN CENTER FOR WOMENS HEALTH INC
Entity type:Organization
Organization Name:KOTZEN CENTER FOR WOMENS HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, JUPITER PROF DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-748-2889
Mailing Address - Street 1:4280 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4280
Mailing Address - Country:US
Mailing Address - Phone:561-837-9880
Mailing Address - Fax:561-837-9884
Practice Address - Street 1:4280 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 300
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4280
Practice Address - Country:US
Practice Address - Phone:561-837-9880
Practice Address - Fax:561-837-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39811207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty