Organization
BABY ROOTS BIRTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSE MARIE ALBATROSOV CLC, CCE (OWNER)
(386) 562-8213
Entity
Organization
Contact information
Practice address
119 S PALMETTO AVE, SUITE 158, DAYTONA BEACH, FL 32114-4387
(386) 562-8213
Mailing address
119 S PALMETTO AVE, SUITE 158, DAYTONA BEACH, FL 32114-4387
(386) 562-8213
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
BT-72927
FL
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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