Organization
TREE OF LIFE BIRTH AND GYNECOLOGY
Active
Other names
Tree of Life Birth and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KALEEN R RICHARDS ARNP, CNM (OWNER)
(407) 929-6599
Entity
Organization
Contact information
Practice address
165 MONTGOMERY RD, ALTAMONTE SPRINGS, FL 32714
(407) 878-2757
(407) 288-8530
Mailing address
165 MONTGOMERY RD, ALTAMONTE SPRINGS, FL 32714
(407) 878-2757
(407) 288-8530
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
367A00000X
Advanced Practice Midwife
9170873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111617800
—
FL
05
—
1922156330
—
FL
Enumeration date
01/30/2011
Last updated
11/20/2024
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