Organization
ABUNDANT LIFE BIRTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY DIEFFENBACH LM (OWNER)
(772) 200-4277
Entity
Organization
Contact information
Practice address
611 SW FEDERAL HWY STE M, STUART, FL 34994-2925
(772) 200-4277
(772) 919-4280
Mailing address
611 SW FEDERAL HWY STE M, STUART, FL 34994-2925
(772) 200-4277
(772) 919-4280
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
04/25/2017
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