Provider Demographics
NPI:1396509469
Name:PRACTICAL MIDWIFERY
Entity type:Organization
Organization Name:PRACTICAL MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:M
Authorized Official - Last Name:DANDREANO
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:352-559-3861
Mailing Address - Street 1:5538 NW 43RD ST STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-3411
Mailing Address - Country:US
Mailing Address - Phone:352-559-3861
Mailing Address - Fax:352-354-9070
Practice Address - Street 1:5538 NW 43RD ST STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-3411
Practice Address - Country:US
Practice Address - Phone:352-559-3861
Practice Address - Fax:352-354-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing