# THE VOLUSIA TRIBE COMMUNITY PREGNANCY CLINIC CORP

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

## Provider details

- **NPI number:** 1346977899
- **Authorized official:** SERENA R BURR LM (PRESIDENT)
- **Authorized official phone:** (386) 227-7663

## Contact information

- **Practice address:** 800 S NOVA RD STE R, ORMOND BEACH, FL 32174-7362
- **Practice address phone:** (386) 227-7663
- **Practice address fax:** (386) 204-7117
- **Mailing address:** 800 S NOVA RD STE R, ORMOND BEACH, FL 32174-7362
- **Mailing address phone:** (386) 227-7663
- **Mailing address fax:** (386) 204-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 08/04/2022
- **Last updated:** 12/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 115566700 | — | FL |