Healthcare Provider Details

I. General information

NPI: 1487138681
Provider Name (Legal Business Name): REBECCA MARIE SAJOUS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA MARIE MILBURN ARNP

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 E CENTRAL AVE
WINTER HAVEN FL
33880-3051
US

IV. Provider business mailing address

427 E CENTRAL AVE
WINTER HAVEN FL
33880-3051
US

V. Phone/Fax

Practice location:
  • Phone: 863-299-1107
  • Fax: 863-291-3318
Mailing address:
  • Phone: 863-299-1107
  • Fax: 863-291-3318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number9345780
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number9345780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: