Provider Demographics
NPI:1659802932
Name:GAINESVILLE MIDWIVES
Entity Type:Organization
Organization Name:GAINESVILLE MIDWIVES
Other - Org Name:GAINESVILLE MIDWIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:SORELL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGLIARA
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:352-246-3936
Mailing Address - Street 1:10213 NW 6TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10213 NW 6TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1337
Practice Address - Country:US
Practice Address - Phone:352-246-3936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW336261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing