Provider Demographics
NPI:1598975195
Name:MEJ BREASTFEEDING INC
Entity Type:Organization
Organization Name:MEJ BREASTFEEDING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:MERRITT
Authorized Official - Middle Name:E
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:BA, IBCLC
Authorized Official - Phone:786-473-3568
Mailing Address - Street 1:144 NW 42ND STREET
Mailing Address - Street 2:OR PO BOX 370534, MIAMI FLORIDA, 33137-0534
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127
Mailing Address - Country:US
Mailing Address - Phone:786-473-3568
Mailing Address - Fax:305-573-4268
Practice Address - Street 1:144 NW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-2855
Practice Address - Country:US
Practice Address - Phone:786-473-3568
Practice Address - Fax:305-573-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10218263174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty