# SPIRIT OF LIFE TRADITIONAL MIDWIFERY

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

## Provider details

- **NPI number:** 1902021322
- **Authorized official:** MS. SHEILA SIMMS WATSON L.M. (PRESIDENT)
- **Authorized official phone:** (786) 287-0484

## Contact information

- **Practice address:** 17304 WALKER AVE, \#116, MIAMI, FL 33157-4389
- **Practice address phone:** (786) 287-0484
- **Practice address fax:** (305) 235-6688
- **Mailing address:** 9745 SW 161ST ST, MIAMI, FL 33157-3315
- **Mailing address phone:** (786) 287-0484
- **Mailing address fax:** (305) 235-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW 141 | FL | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 12/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 340228200 | — | FL |
| 01 | — | N205340 | HEALTHEASE PROVIDER \# | FL |
| 01 | — | Y005R | BLUE CROSS PROVIDER \# | FL |