Provider Demographics
NPI:1114261260
Name:ALL WOMENS MIDWIFERY & HEALTHCARE
Entity Type:Organization
Organization Name:ALL WOMENS MIDWIFERY & HEALTHCARE
Other - Org Name:ALL WOMENS MIDWIFERY & HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP CNM
Authorized Official - Phone:352-835-7100
Mailing Address - Street 1:PO BOX 5265
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611-5265
Mailing Address - Country:US
Mailing Address - Phone:352-834-7100
Mailing Address - Fax:
Practice Address - Street 1:34 SEVEN HILLS DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0212
Practice Address - Country:US
Practice Address - Phone:352-834-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2053942363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304419000Medicaid
FLAJ6732Medicare PIN