# BEARTH SIDE MIDWIFERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033895875
- **Authorized official:** ALIAJA ALLISON LM, CPM (MIDWIFE)
- **Authorized official phone:** (727) 316-0295

## Contact information

- **Practice address:** 140 21ST AVE S, ST PETERSBURG, FL 33705-2774
- **Practice address phone:** (727) 316-0295
- **Practice address fax:** (727) 342-6054
- **Mailing address:** 140 21ST AVE S, ST PETERSBURG, FL 33705-2774
- **Mailing address phone:** (727) 316-0295
- **Mailing address fax:** (727) 342-6054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2023
- **Last updated:** 06/26/2023