Healthcare Provider Details

I. General information

NPI: 1902801137
Provider Name (Legal Business Name): FAMILY BIRTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 IMMOKALEE RD STE B
NAPLES FL
34110-1408
US

IV. Provider business mailing address

2930 IMMOKALEE RD STE B
NAPLES FL
34110-1408
US

V. Phone/Fax

Practice location:
  • Phone: 239-594-0400
  • Fax: 239-594-6971
Mailing address:
  • Phone: 239-594-0400
  • Fax: 239-594-6971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number303
License Number StateFL

VIII. Authorized Official

Name: DAWN RACHMAN
Title or Position: PRESIDENT/CEO
Credential: L.M, C.P.M.
Phone: 239-594-0400