MEDICARE: BREATH OF LIFE BIRTH CENTER LLC

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	261QB0400X	Birthing Clinic/Center	329	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528245214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATH OF LIFE BIRTH CENTER LLC

Provider Business Mailing Address
First Line	:	1900 E BAY DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-2218
Country	:	US
Telephone Number	:	727-216-1420
Fax Number	:	727-216-1418

Provider Business Practice Location Address
First Line	:	1900 E BAY DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-2218
Country	:	US
Telephone Number	:	727-216-1420
Fax Number	:	727-216-1418

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GLENDA PEARSON
Credential	:
Telephone Number	:	727-422-6599

Provider Enumeration Date	:	01/25/2008
Last Update Date	:	04/10/2024

Similar Medicare Providers

1063493021 — JODY LYNN PEREZ APRN, CNM
Practice Location Address:

1900 E BAY DR
LARGO, FL
33771-2218

Practice Phone: 727-216-1420
Practice Fax:

1598746034 — MARSHALL KELTNER M.D.
Practice Location Address:

1900 E BAY DR
LARGO, FL
33771-2218

Practice Phone: 727-216-1420
Practice Fax: 727-216-1418

1073624730 — BREATH OF LIFE INC
Practice Location Address:

1900 E BAY DR
LARGO, FL
33771-2218

Practice Phone: 727-216-1420
Practice Fax: 727-216-1418

1497965909 — DR. HANI S TADROS DDS
Practice Location Address:

1960 E BAY DR
LARGO, FL
33771-2218

Practice Phone: 727-535-6400
Practice Fax: 727-535-6848

1578882197 — SAN MICHAEL COSMETICS, LLC
Practice Location Address:

1960 E BAY DR
LARGO, FL
33771-2218

Practice Phone: 727-535-6400
Practice Fax:

1497044853 — MS. VICTORIA DENISE BENNETT ARNP CNM
Practice Location Address:

1900 E BAY DR
LARGO, FL
33771-2218

Practice Phone: 727-216-1420
Practice Fax: 727-216-1418

Directions to “BREATH OF LIFE BIRTH CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.