Organization
THE VOLUSIA TRIBE COMMUNITY PREGNANCY CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA R BURR LM (PRESIDENT)
(386) 227-7663
Entity
Organization
Contact information
Practice address
800 S NOVA RD STE R, ORMOND BEACH, FL 32174-7362
(386) 227-7663
(386) 204-7117
Mailing address
800 S NOVA RD STE R, ORMOND BEACH, FL 32174-7362
(386) 227-7663
(386) 204-7117
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115566700
—
FL
Enumeration date
08/04/2022
Last updated
12/08/2023
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