Organization
BIRTH & BEYOND P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA LENAS ARNP (OWNER ADMINISTRATOR CLINICIAN)
(386) 659-2104
Entity
Organization
Contact information
Practice address
1326 STATE ROAD 100, GRANDIN, FL 32138
(386) 659-2104
Mailing address
PO BOX 380129, GRANDIN, FL 32138-0129
(386) 659-2104
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
ARNP796842
FL
367A00000X
Advanced Practice Midwife
ARNP796842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660121900
—
FL
05
—
660121901
—
FL
Enumeration date
06/27/2006
Last updated
03/08/2016
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