# BREATH OF LIFE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Breath of Life Womens Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073624730
- **Authorized official:** GLENDA PEARSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (727) 422-6599

## Contact information

- **Practice address:** 1900 E BAY DR, LARGO, FL 33771-2218
- **Practice address phone:** (727) 216-1420
- **Practice address fax:** (727) 216-1418
- **Mailing address:** 1900 E BAY DR, LARGO, FL 33771-2218
- **Mailing address phone:** (727) 216-1420
- **Mailing address fax:** (727) 216-1418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/09/2023