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Organization
FERTILE GROUND MIDWIFERY
Active
Organization
FERTILE GROUND MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFINI AUSTIN (CEO)
(850) 296-7086
Entity
Organization
Contact information
Practice address
6130 TRAILWOOD CT, TALLAHASSEE, FL 32311-9389
(850) 296-7086
(850) 792-1354
Mailing address
2241 N MONROE ST # 1295, TALLAHASSEE, FL 32303-4731
(850) 296-7086
(850) 792-1354
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110520600
—
FL
Enumeration date
02/14/2024
Last updated
02/14/2024
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