# BAREFOOT BIRTH

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

## Provider details

- **NPI number:** 1144657834
- **Authorized official:** CHARLIE RAE YOUNG LM, CPM, CLC (OWNER/MIDWIFE)
- **Authorized official phone:** (813) 944-9120

## Contact information

- **Practice address:** 1319 SYDNEY WASHER RD, DOVER, FL 33527
- **Practice address phone:** (813) 944-9120
- **Mailing address:** PO BOX 265, SYDNEY, FL 33587-0265
- **Mailing address phone:** (813) 944-9120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW276 | FL | Yes |

## Other

- **Enumeration date:** 09/26/2013
- **Last updated:** 09/26/2013