# MOONRISE BIRTH COLLECTIVE

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

## Provider details

- **NPI number:** 1124849591
- **Authorized official:** MRS. EMILY MALDONADO LM (OWNER, MIDWIFE)
- **Authorized official phone:** (407) 312-2670

## Contact information

- **Practice address:** 630 N DENNING DR, WINTER PARK, FL 32789-3019
- **Practice address phone:** (407) 312-2670
- **Practice address fax:** (689) 227-7466
- **Mailing address:** 630 N DENNING DR, WINTER PARK, FL 32789-3019
- **Mailing address phone:** (407) 312-2670
- **Mailing address fax:** (689) 227-7466

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2024
- **Last updated:** 10/18/2024