Countryside Birthing Place INC
NPI #1750497830 in Clearwater, Florida
Provider Information
- NPI Number
- 1750497830
- Entity Type
- Organization
- Organization Name
- Countryside Birthing Place INC
- Primary Specialty
- Clinic/Center - Birthing
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Jul 29, 2014
Practice Location
- Address
- 3060 JONES LN
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33759-1603
- Phone
- (727) 796-7502
Authorized Official
- Name
- MRS. SHIRLEY J TREGILLUS, LM
- Title
- OWNER/OPERATOR
- Phone
- (727) 796-7502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Birthing — Birthing |
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