Healthcare Provider Details

I. General information

NPI: 1003742941
Provider Name (Legal Business Name): BIRTHING MIRACLES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MYRTLE RIDGE RD
LUTZ FL
33549-5632
US

IV. Provider business mailing address

106 MYRTLE RIDGE RD
LUTZ FL
33549-5632
US

V. Phone/Fax

Practice location:
  • Phone: 813-568-0995
  • Fax:
Mailing address:
  • Phone: 813-568-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. TALENA L. JONES
Title or Position: OWNER
Credential: LM, CPM
Phone: 813-568-0995