Provider Demographics
NPI:1295074102
Name:UNE PLACE POUR LES FEMMES
Entity type:Organization
Organization Name:UNE PLACE POUR LES FEMMES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIST-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGLOIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-724-9707
Mailing Address - Street 1:1880 NE 163RD ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4867
Mailing Address - Country:US
Mailing Address - Phone:305-705-3377
Mailing Address - Fax:305-749-6586
Practice Address - Street 1:1880 NE 163RD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4867
Practice Address - Country:US
Practice Address - Phone:305-705-3377
Practice Address - Fax:305-749-6586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88404174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268801802Medicaid
FLME88404OtherLICENSE
FL1093780207OtherNPI
FL11509174OtherCAQH
FLH52261OtherUPIN
FLH52261OtherUPIN
FLME88404OtherLICENSE