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Organization
BREATH OF LIFE INC
Active
Organization
BREATH OF LIFE INC
Active
Other names
Breath of Life Womens Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA PEARSON (EXECUTIVE DIRECTOR)
(727) 422-6599
Entity
Organization
Contact information
Practice address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Mailing address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
05/09/2023
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