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OBSTETRIX MEDICAL GROUP OF WASHINGTON, INC., P.S.

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Company Details

Legal Name: OBSTETRIX MEDICAL GROUP OF WASHINGTON, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 27th 1999
Expiration date: 31 Jan 2026
UBI Number: 601 928 495
Home State: FLORIDA
Principal Office Street Address: Google Maps Logo 1301 CONCORD TERRACE, SUNRISE, FL, 33323, UNITED STATES

Contact Details

E-Mail: MEDNAX_TAX_DEPT@MEDNAX.COM

Nature of Business

PROVIDE MEDICAL SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
KARA STIRLING, M.D. Governing Person
KASANDRA H. ROSSI Governing Person
MICHAEL R. SANTANA Governing Person

National Provider Identifier

NPI Number:
1861599573
Certification Date:
2024-10-23

Authorized Person:

Name:
NANETTE SANDERS
Role:
ASSISTANT SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary:
No
Selected Taxonomy:
2085U0001X - Diagnostic Ultrasound Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207VM0101X - Maternal & Fetal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9548511948
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