Organization
CAPITAL PARENT AND BABY SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BLACK IBCLC (OWNER)
(803) 630-3454
Entity
Organization
Contact information
Practice address
829 W MLK BLVD STE 256, TAMPA, FL 33603-3309
(803) 630-3454
(803) 219-9796
Mailing address
829 W MLK BLVD STE 256, TAMPA, FL 33603-3309
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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