Organization
BREATH OF LIFE INC
Active
Other names
Breath of Life Womens Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA PEARSON (EXECUTIVE DIRECTOR)
(727) 422-6599
Entity
Organization
Contact information
Practice address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Mailing address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
05/09/2023
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