Pauline Rozelle Theobalds CNM

NPI 1053303537 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1053303537
Gender Female
Enumeration Date 08/19/2005
Last Updated 02/25/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1600 S ANDREWS AVE
SUITE 323 WEST WING
FT LAUDERDALE FL, 33316-2510, US
Phone (954) 355-5110
Fax (954) 355-4919
Business Location
1600 S. ANDREWS AVENUE
SUITE 323 WEST WING
FORT LAUDERDALE FL, 33316, US
Phone (954) 355-5110
Fax (954) 355-4919
Toxanomy
Taxonomy Code 367A00000X
License State Florida
License Number ARNP2725772
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According to our database, Pauline Rozelle Theobalds CNM NPI is 1053303537, taxonomy code is 367A00000X and license number is ARNP2725772, license state is located at Florida. Pauline Rozelle Theobalds CNM physically located at 1600 S Andrews Ave, Ft Lauderdale FL, 33316-2510. NPI Number Pauline Rozelle Theobalds CNM has the Individual type.

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1053303537 NPI number is provided on an as is basis without warranty of any kind. 1053303537 is maintained by the National Plan & Provider Enumeration System. The contents of Pauline Rozelle Theobalds CNM are for informational purposes only.