# SACRED PASSAGE MIDWIFERY

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

## Provider details

- **NPI number:** 1831472992
- **Authorized official:** LAMITSOI KHAILYLAH JORDAN LM (OWNER/MIDWIFE)
- **Authorized official phone:** (305) 340-1189

## Contact information

- **Practice address:** 57 NE 44TH ST, MIAMI, FL 33137-3413
- **Practice address phone:** (305) 340-1189
- **Mailing address:** 57 NE 44TH ST, MIAMI, FL 33137-3413
- **Mailing address phone:** (305) 340-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 246 | FL | Yes |

## Other

- **Enumeration date:** 09/26/2011
- **Last updated:** 09/26/2011