# MIDWIVES COOPERATIVE LLC

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

## Provider details

- **NPI number:** 1770910721
- **Authorized official:** ABIGAIL OWENS-REICHARDT LM (OWNER, LICENSED MIDWIFE)
- **Authorized official phone:** (352) 377-3879

## Contact information

- **Practice address:** 5310 NW 8TH AVE STE 1, GAINESVILLE, FL 32605-4468
- **Practice address phone:** (352) 377-3879
- **Practice address fax:** (386) 462-9021
- **Mailing address:** 5310 NW 8TH AVE STE 1, GAINESVILLE, FL 32605-4468
- **Mailing address phone:** (352) 377-3879
- **Mailing address fax:** (352) 478-0175

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2013
- **Last updated:** 07/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 121972500 | — | FL |