MEDICARE: MILTON MEMORIAL BIRTHING CENTER

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	251B00000X	Case Management Agency	278	FL

General Provider Information

NPI Number	:	1275712242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILTON MEMORIAL BIRTHING CENTER

Provider Business Mailing Address
First Line	:	952 FLOWERSVIEW BLVD
Second Line	:
City	:	LAUREL HILL
State	:	FL
Zip	:	32567-3543
Country	:	US
Telephone Number	:	850-834-2946
Fax Number	:	850-834-3138

Provider Business Practice Location Address
First Line	:	952 FLOWERSVIEW BLVD
Second Line	:
City	:	LAUREL HILL
State	:	FL
Zip	:	32567-3543
Country	:	US
Telephone Number	:	850-834-2946
Fax Number	:	850-834-3138

Authorized Official
Title or Position	:	ADMINISTRATOR/LM
Name	:	MS. MARIA LYNETTE MILTON
Credential	:	LM
Telephone Number	:	850-834-2946

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	10/26/2007

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Directions to “MILTON MEMORIAL BIRTHING CENTER ” Practice Location

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