MEDICARE: MRS. URANIA GENATIOS LICENSE MIDWIFE

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	176B00000X	Midwife	MW453	FL

General Provider Information

NPI Number	:	1134995715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. URANIA GENATIOS LICENSE MIDWIFE

Provider Business Mailing Address
First Line	:	1951 SW 172ND AVE STE 212
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5613
Country	:	US
Telephone Number	:	954-300-6468
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 SW 172ND AVE STE 212
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5613
Country	:	US
Telephone Number	:	954-300-6468
Fax Number	:

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

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	03/04/2026

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