Healthcare Provider Details

I. General information

NPI: 1417860628
Provider Name (Legal Business Name): CAMINA WELLNESS AND MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2499 GLADES RD STE 109
BOCA RATON FL
33431-7260
US

IV. Provider business mailing address

2499 GLADES RD STE 109
BOCA RATON FL
33431-7260
US

V. Phone/Fax

Practice location:
  • Phone: 561-519-7951
  • Fax: 561-257-6991
Mailing address:
  • Phone: 561-519-7951
  • Fax: 561-257-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. COURTNEY ADONIA MCMILLIAN
Title or Position: OWNER
Credential: ARNP, CNM
Phone: 561-235-1505