# MOBILE MIDWIFE, INC

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

## Provider details

- **NPI number:** 1164662748
- **Authorized official:** MRS. ADA REBECA SPROUSE (LICENSED MIDWIFE)
- **Authorized official phone:** (786) 975-9222

## Contact information

- **Practice address:** 12945 W DIXIE HWY, NORTH MIAMI, FL 33161-4809
- **Practice address phone:** (786) 975-9222
- **Practice address fax:** (786) 513-0380
- **Mailing address:** 930 NE 205TH ST, MIAMI, FL 33179-1918
- **Mailing address phone:** (786) 975-9222
- **Mailing address fax:** (786) 513-0380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW208 | FL | Yes |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 02/23/2009