Provider Demographics
NPI:1699777490
Name:ESPECIALLY FOR WOMEN, INC.
Entity type:Organization
Organization Name:ESPECIALLY FOR WOMEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TORO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:352-332-9095
Mailing Address - Street 1:4994 NW 39TH AVENUE
Mailing Address - Street 2:SUITE D
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6823
Mailing Address - Country:US
Mailing Address - Phone:352-332-9095
Mailing Address - Fax:352-332-9096
Practice Address - Street 1:4994 NW 39TH AVENUE
Practice Address - Street 2:SUITE D
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6823
Practice Address - Country:US
Practice Address - Phone:352-332-9095
Practice Address - Fax:352-332-9096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259671OtherAVMED
FL025632300Medicaid
FL025632300Medicaid