Healthcare Provider Details

I. General information

NPI: 1184147357
Provider Name (Legal Business Name): MIDWIFERY CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2748 SW 87TH AVE
MIAMI FL
33165-3200
US

IV. Provider business mailing address

9760 SW 13TH TER
MIAMI FL
33174-2915
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-1772
  • Fax: 305-225-0220
Mailing address:
  • Phone: 305-220-1772
  • Fax: 305-225-0220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW90
License Number StateFL

VIII. Authorized Official

Name: MRS. MARCELA GUYTON
Title or Position: MIDWIFE/OWNER
Credential: LM
Phone: 305-220-1772