Organization
BIRTH AND BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA LENAS (DIRECTOR)
(386) 659-2104
Entity
Organization
Contact information
Practice address
479 HOUSTON ST, GREEN COVE SPRINGS, FL 32043-2411
(904) 531-9504
(904) 531-9507
Mailing address
PO BOX 380129, GRANDIN, FL 32138-0129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660121902
—
FL
Enumeration date
08/02/2011
Last updated
08/02/2011
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