Organization
MAGNOLIA BIRTH HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA TAITT (OWNER)
(786) 953-6534
Entity
Organization
Contact information
Practice address
16821 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2405
(786) 953-6534
(786) 250-1938
Mailing address
16821 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2405
(786) 953-6534
(786) 250-1938
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
358
FL
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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