Healthcare Provider Details

I. General information

NPI: 1780598268
Provider Name (Legal Business Name): A GENTLE DOULA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1388 S NARCOOSSEE RD
SAINT CLOUD FL
34771-7251
US

IV. Provider business mailing address

1388 S NARCOOSSEE RD
SAINT CLOUD FL
34771-7251
US

V. Phone/Fax

Practice location:
  • Phone: 408-621-5723
  • Fax:
Mailing address:
  • Phone: 408-621-5723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSE VELEZ
Title or Position: CEO
Credential:
Phone: 408-621-5723