Healthcare Provider Details

I. General information

NPI: 1134024367
Provider Name (Legal Business Name): THE GARDEN COMMUNITY MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 STATE ROAD 100
MELROSE FL
32666-3701
US

IV. Provider business mailing address

1326 STATE ROAD 100
MELROSE FL
32666-3701
US

V. Phone/Fax

Practice location:
  • Phone: 352-448-9828
  • Fax:
Mailing address:
  • Phone: 352-448-9828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER MAIDER STONE
Title or Position: OWNER/MIDWIFE
Credential: LM, CPM
Phone: 352-448-9828