Provider Demographics
NPI:1023113685
Name:LABOR OF LOVE CHILDBIRTH SERVICES, INC.
Entity type:Organization
Organization Name:LABOR OF LOVE CHILDBIRTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES./ADM.
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAUGHTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-949-1185
Mailing Address - Street 1:106 MYRTLE RIDGE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-5623
Mailing Address - Country:US
Mailing Address - Phone:813-949-1185
Mailing Address - Fax:813-949-1162
Practice Address - Street 1:106 MYRTLE RIDGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5623
Practice Address - Country:US
Practice Address - Phone:813-949-1185
Practice Address - Fax:813-949-1162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL312261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing