Provider Demographics
NPI:1588788780
Name:NATURAL BIRTH SERVICES, INC.
Entity type:Organization
Organization Name:NATURAL BIRTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:REBILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:305-378-0398
Mailing Address - Street 1:9245 SW 157TH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1975
Mailing Address - Country:US
Mailing Address - Phone:305-378-0398
Mailing Address - Fax:305-378-0387
Practice Address - Street 1:9245 SW 157TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1975
Practice Address - Country:US
Practice Address - Phone:305-378-0398
Practice Address - Fax:305-378-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL326261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing