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Organization

GROWING FAMILIES MIDWIFERY SERVICE AND BIRTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MISTI BALZER LM, CPM (OWNER/DIRECTOR/MIDWIFE)
(904) 460-2771
Entity
Organization

Contact information

Practice address
3750 US 1 S, SUITE A, ST AUGUSTINE, FL 32086-7150
(904) 460-2771
(904) 460-2711
Mailing address
3750 US 1 S, SUITE A, ST AUGUSTINE, FL 32086-7150
(904) 460-2771
(904) 460-2711

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
338
FL

Other

Enumeration date
09/20/2011
Last updated
06/14/2012
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