# WILLOUGHBY MIDWIFERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Birth Center of St Pete
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730579699
- **Authorized official:** JESSICA DARLENE WILLOUGHBY (OWNER)
- **Authorized official phone:** (727) 895-2300

## Contact information

- **Practice address:** 1405 DR MLK JR ST N, SAINT PETERSBURG, FL 33704
- **Practice address phone:** (727) 895-2300
- **Practice address fax:** (727) 895-2375
- **Mailing address:** 1405 DR MLK JR ST N, SAINT PETERSBURG, FL 33704
- **Mailing address phone:** (727) 895-2300
- **Mailing address fax:** (727) 895-2375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW289 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2015
- **Last updated:** 01/30/2015