Modern Orlando Midwifery LLC
Midwife in Altamonte Springs, FL. Organization (NPI-2).
NPI number1295398162
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1295398162
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Orlando Midwifery LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2019
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | – | – | Yes |
Practice location
512 Fernwood DrAltamonte Springs, FL 32701-6330
Phone 407-907-2601 · Fax 407-289-4050
Mailing address
512 Fernwood DrAltamonte Springs, FL 32701-6330
Phone 407-907-2601
Authorized official
Laura Gayle Nathan
Owner
4079072601
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