Provider Demographics
NPI:1497980155
Name:BREASTFEEDING RESOURCE CENTER OF MAIMI, INC
Entity Type:Organization
Organization Name:BREASTFEEDING RESOURCE CENTER OF MAIMI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:AGOSTINHO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, IBCLC
Authorized Official - Phone:305-428-2880
Mailing Address - Street 1:8955 SW 84 AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-428-2880
Mailing Address - Fax:305-428-2881
Practice Address - Street 1:8955 SW 87TH CT
Practice Address - Street 2:SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2230
Practice Address - Country:US
Practice Address - Phone:305-428-2880
Practice Address - Fax:305-428-2881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty