Organization
SACRED BIRTH MIDWIFERY SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ISLA LM, CPM (OWNER/MIDWIFE)
(407) 766-2857
Entity
Organization
Contact information
Practice address
230 BENMORE DR, WINTER PARK, FL 32792-4101
(407) 469-5050
(407) 942-2044
Mailing address
422 RED COAT LN, ORLANDO, FL 32825-3333
(407) 766-2857
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009762300
—
FL
Enumeration date
09/25/2013
Last updated
08/06/2024
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