Organization
INSPIRATION HEALTH CARE, LLC
Active
Other names
Inspiration Family Birth Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELIZABETH MATTOX L.M. (CLINICAL DIRECTOR)
(407) 644-5567
Entity
Organization
Contact information
Practice address
434 GROVE AVE, WINTER PARK, FL 32789-3651
(407) 644-5567
Mailing address
434 GROVE AVE, WINTER PARK, FL 32789-3651
(407) 644-5567
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002434300
—
FL
01
—
B0000
BCBS
FL
Enumeration date
07/02/2010
Last updated
01/13/2012
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