Healthcare Provider Details

I. General information

NPI: 1992473201
Provider Name (Legal Business Name): PEACEFUL BEGINNINGS MIDWIFERY CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10108 N SILVER PALM DR
ESTERO FL
33928-3476
US

IV. Provider business mailing address

10108 N SILVER PALM DR
ESTERO FL
33928-3476
US

V. Phone/Fax

Practice location:
  • Phone: 239-206-0492
  • Fax: 239-766-7550
Mailing address:
  • Phone: 239-206-0492
  • Fax: 239-766-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: JAMIE L MUSICH
Title or Position: LICENSED MIDWIFE
Credential: LM
Phone: 239-206-0492