Provider Demographics
NPI:1184147357
Name:MIDWIFERY CARE LLC.
Entity type:Organization
Organization Name:MIDWIFERY CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:305-220-1772
Mailing Address - Street 1:9760 SW 13TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2915
Mailing Address - Country:US
Mailing Address - Phone:305-220-1772
Mailing Address - Fax:305-225-0220
Practice Address - Street 1:2748 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3200
Practice Address - Country:US
Practice Address - Phone:305-220-1772
Practice Address - Fax:305-225-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW90176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340034400Medicaid