Lake City Birth, LLC

NPI #1285040097 in O Brien, Florida

Provider Information

NPI Number
1285040097
Entity Type
Organization
Organization Name
Lake City Birth, LLC
Primary Specialty
Clinic/Center - Birthing
Enumeration Date
Jul 1, 2014
Last Updated
Jul 1, 2014

Practice Location

Address
5113 256TH ST
State
Florida
ZIP Code
32071-4435
Phone
(386) 299-0698

Authorized Official

Name
ANGELA FENNELL, LM, CPM
Title
OWNER
Phone
(386) 288-0698

Specialties & Taxonomy Codes

Specialty
Clinic/Center - BirthingBirthing

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