Organization
CREATIVE BIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE P DIGIACOMO M.D. (DIRECTOR/OWNER)
(954) 456-4888
Entity
Organization
Contact information
Practice address
3001 W HALLANDALE BEACH BLVD, 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Mailing address
3001 W HALLANDALE BEACH BLVD, 200, HALLANDALE, FL 33009-5155
(954) 456-4888
(954) 456-9721
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
FL
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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