Healthcare Provider Details

I. General information

NPI: 1730724006
Provider Name (Legal Business Name): BLESSINGS IN ABUNDANCE MIDWIFERY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2019
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 JAMELA DR
OCOEE FL
34761-1905
US

IV. Provider business mailing address

903 JAMELA DR
OCOEE FL
34761-1905
US

V. Phone/Fax

Practice location:
  • Phone: 407-466-5982
  • Fax:
Mailing address:
  • Phone: 407-466-5982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY SURPRENANT
Title or Position: CNM/OWNER
Credential: CNM
Phone: 407-466-5982