# TREE OF LIFE BIRTH & GYNECOLOGY

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

## Provider details

- **NPI number:** 1164813952
- **Authorized official:** KALEEN RICHARDS ARNP, CNM (OWNER)
- **Authorized official phone:** (407) 878-2757

## Contact information

- **Practice address:** 1010 ARTHUR AVE, ORLANDO, FL 32804-2827
- **Practice address phone:** (407) 878-2757
- **Practice address fax:** (407) 270-7117
- **Mailing address:** 1010 ARTHUR AVE, ORLANDO, FL 32804-2827
- **Mailing address phone:** (407) 878-2757
- **Mailing address fax:** (407) 270-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 9170873 | FL | Yes |

## Other

- **Enumeration date:** 02/15/2015
- **Last updated:** 02/15/2015