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Organization
LEGACY MIDWIFERY, LLC
Active
Organization
LEGACY MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CASEY L.M. (MANAGER)
(305) 912-4534
Entity
Organization
Contact information
Practice address
9760 SW 164TH ST, MIAMI, FL 33157-3328
(305) 912-4534
Mailing address
9760 SW 164TH ST, MIAMI, FL 33157-3328
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW 327
FL
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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