Organization
FIRST COAST MIDWIFERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CRICKMORE LM CPM (OWNER)
(904) 990-3619
Entity
Organization
Contact information
Practice address
7117 BLACHE CT, JACKSONVILLE, FL 32210-4868
(904) 990-3619
(904) 562-3402
Mailing address
7117 BLACHE CT, JACKSONVILLE, FL 32210-4868
(904) 990-3619
(904) 562-3402
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
06/16/2018
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