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Organization

MODERN ORLANDO MIDWIFERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA GAYLE NATHAN LM CPM (OWNER)
(407) 907-2601
Entity
Organization

Contact information

Practice address
512 FERNWOOD DR, ALTAMONTE SPRINGS, FL 32701-6330
(407) 907-2601
(407) 289-4050
Mailing address
512 FERNWOOD DR, ALTAMONTE SPRINGS, FL 32701-6330
(407) 907-2601

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
04/17/2019
Last updated
04/17/2019
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