Healthcare Provider Details
I. General information
NPI: 1003251117
Provider Name (Legal Business Name): HELEN LAURA SINNOTT L.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/02/2013
Last Update Date: 05/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
810 E UNIVERSITY AVE
GAINESVILLE FL
32601-5507
US
IV. Provider business mailing address
612 SW 5TH TER
GAINESVILLE FL
32601-6636
US
V. Phone/Fax
- Phone: 352-372-4784
- Fax:
- Phone: 850-559-1146
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | MW270 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: