MEDICARE: BEAUTIFUL BIRTHINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	MW265	FL

General Provider Information

NPI Number	:	1538558127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTIFUL BIRTHINGS

Provider Business Mailing Address
First Line	:	6218 ROYAL OAK DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5873
Country	:	US
Telephone Number	:	321-604-6503
Fax Number	:

Provider Business Practice Location Address
First Line	:	6218 ROYAL OAK DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5873
Country	:	US
Telephone Number	:	321-604-6503
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TERRI WILLIAMS
Credential	:	LM, CPM
Telephone Number	:	321-604-6503

Provider Enumeration Date	:	01/20/2015
Last Update Date	:	01/20/2015

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Directions to “BEAUTIFUL BIRTHINGS ” Practice Location

Language	Start Address	Practice Location

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