Provider Demographics
NPI:1669037826
Name:LACTATION CONSULTANTS OF CENTRAL FL, LLC
Entity Type:Organization
Organization Name:LACTATION CONSULTANTS OF CENTRAL FL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SHEHANE
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CLC, RLC, IBCLC
Authorized Official - Phone:407-595-5054
Mailing Address - Street 1:1300 GOLF POINT LOOP
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2175
Mailing Address - Country:US
Mailing Address - Phone:407-595-5054
Mailing Address - Fax:407-386-6161
Practice Address - Street 1:1300 GOLF POINT LOOP
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2175
Practice Address - Country:US
Practice Address - Phone:407-595-5054
Practice Address - Fax:407-386-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty