Organization
A LOVING START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E HARRIS LM (OWNER)
(305) 215-8763
Entity
Organization
Contact information
Practice address
3001 W. HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5158
(305) 215-8763
(305) 397-2621
Mailing address
3001 W. HALLANDALE BEACH BLVD, SUITE 200, HALLANDALE, FL 33009-5158
(305) 215-8763
(305) 397-2621
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340158800
—
FL
01
—
Y095Y
FLORIDA BLUE
FL
Enumeration date
08/14/2014
Last updated
08/14/2014
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