Provider Demographics
NPI:1104285386
Name:HBC MIDWIVES GROUP LLC
Entity type:Organization
Organization Name:HBC MIDWIVES GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED MIDWIFE
Authorized Official - Phone:954-925-4499
Mailing Address - Street 1:2316 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6703
Mailing Address - Country:US
Mailing Address - Phone:954-925-4499
Mailing Address - Fax:954-925-2756
Practice Address - Street 1:2316 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6703
Practice Address - Country:US
Practice Address - Phone:954-925-4499
Practice Address - Fax:954-925-2756
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLLYWOOD BIRTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty