MATTIE GALLAGHER DUCOIN

TAMPA, FL
NPI1154500056
Former NameMATTIE BERRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: FL  APRN9369604)
Additional Taxonomies176B00000X Midwife
(Licence: FL  MW206)
367A00000X Advanced Practice Midwife
(Licence: LA  AP08269)
367A00000X Advanced Practice Midwife
(Licence: VA  0024170143)
Enumeration Date2007-10-26
Last Update Date2020-10-26
Business Address
MATTIE GALLAGHER DUCOIN CNM
2 TAMPA GENERAL CIR
TAMPA, FL 33606
Phone number: 813-974-2201
Mailing Address
MATTIE GALLAGHER DUCOIN CNM
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number: 813-974-2201