Provider Demographics
NPI:1164717096
Name:THE PALMS BIRTH HOUSE
Entity Type:Organization
Organization Name:THE PALMS BIRTH HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:561-206-4676
Mailing Address - Street 1:353 N SWINTON AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-2725
Mailing Address - Country:US
Mailing Address - Phone:561-206-4676
Mailing Address - Fax:561-952-0856
Practice Address - Street 1:353 N SWINTON AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-2725
Practice Address - Country:US
Practice Address - Phone:561-206-4676
Practice Address - Fax:561-952-0856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing