=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285845347
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NATURAL BIRTH CHOICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2007
-----------------------------------------------------
Last Update Date | 01/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16604 NE 3RD AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33162-3506
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-399-7080
-----------------------------------------------------
Fax | 305-891-3304
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16604 NE 3RD AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33162-3506
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-399-7080
-----------------------------------------------------
Fax | 305-891-3304
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED MIDWIFE
-----------------------------------------------------
Name | MRS. BARBARA DESAMOURS BLOT
-----------------------------------------------------
Credential | LM CPM
-----------------------------------------------------
Telephone | 786-399-7080
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175M00000X
-----------------------------------------------------
Taxonomy Name | Lay Midwife
-----------------------------------------------------
License Number | MW158
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------