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Organization

SAMANTHA CRICKMORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SAMANTHA BROOKE CRICKMORE L.M., C.P.M. (LICENSED MIDWIFE)
(352) 278-4746
Entity
Organization

Contact information

Practice address
721 FOXBRIAR CV, JACKSONVILLE, FL 32221-1508
(352) 278-4746
Mailing address
721 FOXBRIAR CV, JACKSONVILLE, FL 32221-1508
(352) 278-4746

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
MW306
FL

Other

Enumeration date
02/02/2015
Last updated
02/02/2015
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