Provider Demographics
NPI:1609871698
Name:BABYLOVE BIRTH CENTER
Entity Type:Organization
Organization Name:BABYLOVE BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:239-540-9010
Mailing Address - Street 1:3046 DEL PRADO BLVD S STE 2E
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7215
Mailing Address - Country:US
Mailing Address - Phone:239-540-9010
Mailing Address - Fax:239-549-2229
Practice Address - Street 1:3046 DEL PRADO BLVD S STE 2E
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7215
Practice Address - Country:US
Practice Address - Phone:239-540-9010
Practice Address - Fax:239-549-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL308261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing