Healthcare Provider Details

I. General information

NPI: 1265537781
Provider Name (Legal Business Name): ANNE L. HIRSCH L.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 06/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 ALCAZAR WAY S
ST PETERSBURG FL
33705
US

IV. Provider business mailing address

1010 ALCAZAR WAY S
ST PETERSBURG FL
33705-4604
US

V. Phone/Fax

Practice location:
  • Phone: 727-452-6188
  • Fax: 727-491-5462
Mailing address:
  • Phone: 727-452-6188
  • Fax: 727-491-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW143
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: