Healthcare Provider Details

I. General information

NPI: 1114430063
Provider Name (Legal Business Name): GLOBAL BIRTHING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2017
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10955 SW 15TH ST # 2-305
PEMBROKE PINES FL
33025-5553
US

IV. Provider business mailing address

10955 SW 15TH ST # 2-305
PEMBROKE PINES FL
33025-5553
US

V. Phone/Fax

Practice location:
  • Phone: 786-431-8121
  • Fax:
Mailing address:
  • Phone: 786-431-8121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DELLAREECE BASTIAN
Title or Position: OWNER
Credential: LM
Phone: 786-431-8121