MOBILE MIDWIFE, INC
Midwife at Dixie Hwy, Miami, FL

License number
Florida MW208
Category
Midwife
Type
Midwife
Owner
Name: MRS. ADA REBECA SPROUSE
Title: LICENSED MIDWIFE
Phone: (786) 975-9222
Address
Address
12945 W Dixie Hwy, Miami, FL 33161
National Provider ID: 1164662748
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOBILE MIDWIFE, INC at bizstanding.com

MOBILE MIDWIFE, INC

Daytona Beach, FL  -  Miami, FL

Status:
Inactive
Industry:
Health Practitioner's Office
Inactive reason:
REINSTATEMENT
Registration:
May 19, 2008
Inactive since:
Apr 30, 2015
Addresses:
1346 Mason Ave, Daytona Beach, FL 32117 (Physical)
1637 SW 8 St, Miami, FL 33135
930 NE 205 St, Miami, FL 33179
PO Box 14845, Miami, FL 33101
State ID:
N08000004839
Business type:
Florida Not For Profit Corporation
Chairman, Director, Secretarys:
Teonia Burton, 6707 NE 27 Ave, Gainesville, FL 32609 (Physical),Mojisola Yai, 4129 NE 17 Ter, Gainesville, FL 32609 (Physical),Jarene Fleming, 8670 SW 212, Miami, FL 33189 (Physical),...
Agent:
Amani, Jamarah,1346 Mason Ave, Daytona Beach, FL 32117 (Physical)
EIN:
61-1565139

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