Provider Demographics
NPI:1265901623
Name:BLISS BIRTH AND WELLNESS CENTER INC.
Entity type:Organization
Organization Name:BLISS BIRTH AND WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURUSWAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-445-1253
Mailing Address - Street 1:437 27TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-5419
Mailing Address - Country:US
Mailing Address - Phone:561-445-1253
Mailing Address - Fax:
Practice Address - Street 1:2717 POINSETTIA AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-5503
Practice Address - Country:US
Practice Address - Phone:561-445-1253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty