MEDICARE: JANINA ELDRIDGE CNM

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	367A00000X	Advanced Practice Midwife	ARNP292601	FL

General Provider Information

NPI Number	:	1912056532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINA ELDRIDGE CNM

Provider Business Mailing Address
First Line	:	16601 NE 19TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3149
Country	:	US
Telephone Number	:	305-944-2902
Fax Number	:	305-944-3500

Provider Business Practice Location Address
First Line	:	16601 NE 19TH AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3149
Country	:	US
Telephone Number	:	305-944-2902
Fax Number	:	305-944-3500

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/08/2007

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