Organization
MODERN MIDWIVES LLC
Active
Organization
MODERN MIDWIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WEST LM, CPM (LICENSED MIDWIFE)
(904) 834-1155
Entity
Organization
Contact information
Practice address
830 3RD ST S STE 108, JACKSONVILLE BEACH, FL 32250-6674
(904) 834-1155
(904) 431-3557
Mailing address
830 3RD ST S STE 108, JACKSONVILLE BEACH, FL 32250-6674
(904) 834-1155
(904) 431-3557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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