OrganizationActive
Innovative Gynecology LLC
NPI 1740436831 · Gynecology Physician · Sebastian, FL
Provider details
- NPI number
- 1740436831
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deborah Kaufman, President(772) 388-3332
- License
- OS10268 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
709 Sebastian Blvd Ste F
Sebastian, FL 32958-8704
Phone: (772) 388-3332
Fax: (772) 388-3356
Street-level locationGet directions
Mailing address
709 Sebastian Blvd Ste F
Sebastian, FL 32958-8704
Registry dates
- Enumerated
- 2008-08-08
- Last updated
- 2011-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.