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Organization
STA BIRTH COLLECTIVE
Active
Organization
STA BIRTH COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MARTIN LM, CPM (OWNER/MIDWIFE)
(904) 900-0900
Entity
Organization
Contact information
Practice address
906 ANASTASIA BLVD, ST AUGUSTINE, FL 32080-4664
(904) 900-0900
Mailing address
16 OCEAN WOODS DR W, ST AUGUSTINE, FL 32080-7920
(904) 900-0900
(904) 506-2012
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/24/2026
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