Healthcare Provider Details

I. General information

NPI: 1134813819
Provider Name (Legal Business Name): BIRTH WORK SOUTH FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 N UNIVERSITY DR STE 502A
SUNRISE FL
33351-6320
US

IV. Provider business mailing address

9715 W BROWARD BLVD # 236
PLANTATION FL
33324-2351
US

V. Phone/Fax

Practice location:
  • Phone: 754-300-6755
  • Fax:
Mailing address:
  • Phone: 754-300-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: KAMILAH HARRIS
Title or Position: DIRECTOR
Credential:
Phone: 954-479-7871