Provider Demographics
NPI:1720527724
Name:EAST COAST MIDWIFERY LLC
Entity Type:Organization
Organization Name:EAST COAST MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERAMI
Authorized Official - Suffix:
Authorized Official - Credentials:LM CPM
Authorized Official - Phone:561-501-0985
Mailing Address - Street 1:118 N LONGPORT CIR
Mailing Address - Street 2:APT D2
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-2289
Mailing Address - Country:US
Mailing Address - Phone:561-501-0985
Mailing Address - Fax:561-908-6669
Practice Address - Street 1:118 N LONGPORT CIR
Practice Address - Street 2:APT D2
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-2289
Practice Address - Country:US
Practice Address - Phone:561-501-0985
Practice Address - Fax:561-908-6669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW314176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty