Healthcare Provider Details

I. General information

NPI: 1518193556
Provider Name (Legal Business Name): BABY STEPS HEALTH INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6610 EMBASSY BLVD SUITE A
PORT RICHEY FL
34668-4897
US

IV. Provider business mailing address

7847 OREGOLD DR
NEW PORT RICHEY FL
34654-6363
US

V. Phone/Fax

Practice location:
  • Phone: 727-457-0101
  • Fax: 727-848-1700
Mailing address:
  • Phone: 727-457-0101
  • Fax: 727-848-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number9176361
License Number StateFL

VIII. Authorized Official

Name: MRS. CARMELA MARIE JONES
Title or Position: PRESIDENT/ EARLY INTERVENTIONIST
Credential: ARNP
Phone: 727-457-0101