Organization
BLESSINGS IN ABUNDANCE MIDWIFERY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SURPRENANT CNM (CNM/OWNER)
(407) 466-5982
Entity
Organization
Contact information
Practice address
903 JAMELA DR, OCOEE, FL 34761-1905
(407) 466-5982
Mailing address
903 JAMELA DR, OCOEE, FL 34761-1905
(407) 466-5982
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L19000116347
BUSINESS LICENSE
FL
Enumeration date
11/11/2019
Last updated
11/11/2019
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