Healthcare Provider Details

I. General information

NPI: 1609798537
Provider Name (Legal Business Name): AMBER GADD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 SW 2ND CT APT C
FT LAUDERDALE FL
33312-7391
US

IV. Provider business mailing address

931 SW 2ND CT APT C
FT LAUDERDALE FL
33312-7391
US

V. Phone/Fax

Practice location:
  • Phone: 704-492-0591
  • Fax:
Mailing address:
  • Phone: 704-492-0591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: AMBER MARIE GADDY
Title or Position: OWNER/PROVIDER
Credential:
Phone: 704-492-0591