# CLOVER LEAF MIDWIFERY, LLC

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

## Provider details

- **NPI number:** 1588360747
- **Authorized official:** ERICA LEA DIBARTOLO-BARCLAY LM, LMT (MIDWIFE, OWNER)
- **Authorized official phone:** (352) 218-9288

## Contact information

- **Practice address:** 4020 BLUE LANTANA LN, LAND O LAKES, FL 34638-3561
- **Practice address phone:** (727) 387-3939
- **Practice address fax:** (813) 536-3061
- **Mailing address:** 18865 STATE ROAD 54, STE 181, LUTZ, FL 33558-8201
- **Mailing address fax:** (813) 536-3061

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023