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NPI Code Detail

MEDICARE: CELEBRATE BIRTH MIDWIFERY, INC

MEDICARE: CELEBRATE BIRTH MIDWIFERY, INC
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
1176B00000XMidwifeMW175FL
2261QB0400XBirthing Clinic/Center268FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811234602
Entity Type Code : Organization
Provider Name (Legal Business Name) : CELEBRATE BIRTH MIDWIFERY, INC
Provider Business Mailing Address
First Line : 1525 EDGEWATER BEACH DR
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4737
Country : US
Telephone Number : 863-680-2229
Fax Number : 863-682-4784
Provider Business Practice Location Address
First Line : 1525 EDGEWATER BEACH DR
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4737
Country : US
Telephone Number : 863-680-2229
Fax Number : 863-682-4784
Authorized Official
Title or Position : VICE PRESIDENT
Name : JAMES ANDREW MORROW
Credential :
Telephone Number : 863-602-1422
Provider Enumeration Date : 01/14/2013
Last Update Date : 02/05/2013

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1053377275 — DR. CHRIS W CHEATWOOD D.C.
Practice Location Address:
737 S MISSOURI AVE
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Directions to “CELEBRATE BIRTH MIDWIFERY, INC ” Practice Location

Language Start Address Practice Location
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