# FIRST COAST MIDWIFERY SERVICES LLC

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

## Provider details

- **NPI number:** 1437656303
- **Authorized official:** SAMANTHA CRICKMORE LM CPM (OWNER)
- **Authorized official phone:** (904) 990-3619

## Contact information

- **Practice address:** 7117 BLACHE CT, JACKSONVILLE, FL 32210-4868
- **Practice address phone:** (904) 990-3619
- **Practice address fax:** (904) 562-3402
- **Mailing address:** 7117 BLACHE CT, JACKSONVILLE, FL 32210-4868
- **Mailing address phone:** (904) 990-3619
- **Mailing address fax:** (904) 562-3402

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 06/16/2018