# BIRTH COLLECTIVE OF JACKSONVILLE

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

## Provider details

- **NPI number:** 1760990055
- **Authorized official:** SHEA CINTRON LM, CNM (MIDWIFE/OWNER)
- **Authorized official phone:** (904) 633-3333

## Contact information

- **Practice address:** 684 TIMBERMILL LN, ORANGE PARK, FL 32065-2231
- **Practice address phone:** (904) 633-3333
- **Mailing address:** 684 TIMBERMILL LN, ORANGE PARK, FL 32065-2231
- **Mailing address phone:** (904) 633-3333

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2018
- **Last updated:** 04/03/2019