# SACRED BIRTH MIDWIFERY SERVICE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770919573
- **Authorized official:** MICHELLE ISLA LM, CPM (OWNER/MIDWIFE)
- **Authorized official phone:** (407) 766-2857

## Contact information

- **Practice address:** 230 BENMORE DR, WINTER PARK, FL 32792-4101
- **Practice address phone:** (407) 469-5050
- **Practice address fax:** (407) 942-2044
- **Mailing address:** 422 RED COAT LN, ORLANDO, FL 32825-3333
- **Mailing address phone:** (407) 766-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW277 | FL | Yes |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 08/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009762300 | — | FL |