MEDICARE: MOTHER'S CARE DOULA SERVICES, INC.

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	374J00000X	Doula	RN2161332	FL

General Provider Information

NPI Number	:	1831510684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER'S CARE DOULA SERVICES, INC.

Provider Business Mailing Address
First Line	:	2114 N FLAMINGO RD STE 1261
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-3501
Country	:	US
Telephone Number	:	954-433-2273
Fax Number	:	954-438-3732

Provider Business Practice Location Address
First Line	:	2114 N FLAMINGO RD STE 1261
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-3501
Country	:	US
Telephone Number	:	954-433-2273
Fax Number	:	954-438-3732

Authorized Official
Title or Position	:	OWNER AND DIRECTRESS
Name	:	MRS. MARLO ROBINSON
Credential	:	R.N., CD(DONA)
Telephone Number	:	954-433-2273

Provider Enumeration Date	:	12/20/2013
Last Update Date	:	12/20/2013

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