Healthcare Provider Details

I. General information

NPI: 1659733780
Provider Name (Legal Business Name): MAMA BY NATURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 03/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 BAYVIEW RD
MIAMI FL
33133-6502
US

IV. Provider business mailing address

3609 BAYVIEW RD
MIAMI FL
33133-6502
US

V. Phone/Fax

Practice location:
  • Phone: 305-458-2759
  • Fax: 305-503-7007
Mailing address:
  • Phone: 305-458-2759
  • Fax: 305-503-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number235
License Number StateFL

VIII. Authorized Official

Name: MRS. ULRIKE UHRIG
Title or Position: DIRECTOR
Credential: LM
Phone: 305-458-2759