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Organization

AMMA MIDWIFERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANJALI LARA SARDESHMUKH L.M. (DIRECTOR)
(305) 310-3710
Entity
Organization

Contact information

Practice address
1637 SW 8TH ST, SUITE 107, MIAMI, FL 33135-5243
(305) 310-3710
(305) 400-0295
Mailing address
PO BOX 14845, MIAMI, FL 33101-4845
(305) 310-3710
(305) 400-0295

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW 228
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001285000
FL
Enumeration date
08/03/2009
Last updated
12/15/2013
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