Provider Demographics
NPI:1336442797
Name:A WOMAN'S WAY MIDWIFERY SERVICES INC
Entity type:Organization
Organization Name:A WOMAN'S WAY MIDWIFERY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARGUERITE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:954-989-5100
Mailing Address - Street 1:6151 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-1368
Mailing Address - Country:US
Mailing Address - Phone:954-989-5100
Mailing Address - Fax:954-989-5179
Practice Address - Street 1:6151 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-1368
Practice Address - Country:US
Practice Address - Phone:954-989-5100
Practice Address - Fax:954-989-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLM63261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001291500Medicaid