Ancient City Midwives Inc

LBN: Ancient City Midwives Inc
Ancient City Midwives Inc is an health care organization with primary practice located at 1301 Plantation Island Dr S Ste 105-B, St Augustine FL 32080-3108. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as the primary health care specialty. Ancient City Midwives Inc can be contacted via phone (904) 826-1007, or through Rogero, Michele via phone (904) 826-1007.

Contact Information

Primary practice address
1301 Plantation Island Dr S Ste 105-B St Augustine FL 32080-3108
Fax: (904) 826-1073
Website:
Authorized official contact:
Name: Rogero, Michele ARNP CNM

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP 1634442 Florida

Profile Details

NPI number 1720236383
LBN Legal business name Ancient City Midwives Inc
DBA Doing business as
Authorized official Rogero, Michele ARNP CNM
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2008
Last updated May 14th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720236383 NPPES
Florida Other 98118 BCBS
Florida MEDICAID 000664500 BCBS

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