| NPI | 1174805808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTI BALZER Owner/Director/Midwife 904-460-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center Birthing (Licence: FL 338) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2012-06-14 |