MEDICARE: DAWNA INSUA LM, CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula
2	176B00000X	Midwife	MW437	FL

General Provider Information

NPI Number	:	1003182163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWNA INSUA LM, CPM

Provider Business Mailing Address
First Line	:	9601 NW 39TH CT
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8064
Country	:	US
Telephone Number	:	863-838-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	16821 NE 6TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2405
Country	:	US
Telephone Number	:	786-953-6534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	10/06/2022

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