Lake City Birth, LLC
Organization Active NPI Birthing Clinic/Center · O Brien, FL
NPI 1285040097 · NPPES record last updated Jul 1, 2014
Key facts
- NPI
- 1285040097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Birthing Clinic/Center 261QB0400X
- License
- MW 294 (FL)
- Legal business name
- LAKE CITY BIRTH, LLC
- Practice address
- 5113 256TH St
O Brien, FL 32071-4435 - Phone
- (386) 299-0698
- Fax
- (800) 853-5087
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
Authorized official
- Name
- Angela Fennell, LM, CPM
- Title
- Owner
- Phone
- (386) 288-0698
Practitioners 1
-
Angela Joy Fennell, LM, CPM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | MW 294 | FL | Yes |
Addresses
Primary practice location
5113 256TH St
O Brien, FL 32071-4435
Mailing address
5113 256TH St
O Brien, FL 32071-4435
Phone (386) 299-0698
Other providers in O Brien, FL
- Amanda Checa
- Anne Pickhardt Eno
- Cathy Anne Glass
- Lorianne Hutchison
- Vivian Lee Jones
- Jade D Rodriguez
- Samantha Faith Rojas
- Rustic Roots Healthcare Inc
- Semper Health, LLC
- Emmanuel Suarez Martinez
All providers in O Brien, FL · Birthing Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.