Organization
THE BIRTH TRIBE LLC
Active
Other names
The Birth Tribe
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA BURR LM (MIDWIFE/OWNER)
(914) 299-7171
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
17 PINE GROVE DR SIDE A, PALM COAST, FL 32164-7098
(914) 299-7171
(386) 204-7117
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101854800
—
FL
Enumeration date
04/28/2021
Last updated
04/28/2021
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