Organization
MAIDEN TO MOTHER MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHARRON LM, CPM (OWNER)
(954) 404-3502
Entity
Organization
Contact information
Practice address
4431 NW 10TH ST, COCONUT CREEK, FL 33066-1531
(954) 404-3502
(561) 560-8852
Mailing address
4431 NW 10TH ST, COCONUT CREEK, FL 33066-1531
(954) 404-3502
(954) 337-2480
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009785100
—
FL
Enumeration date
03/28/2018
Last updated
01/16/2023
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