OrganizationActive
Lake City Birth, LLC
NPI 1285040097 · Birthing Clinic/Center · O Brien, FL
Provider details
- NPI number
- 1285040097
- Entity type
- Organization
- Primary specialty
- Birthing Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Fennell, Owner(386) 288-0698
- License
- MW 294 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5113 256th St
O Brien, FL 32071-4435
Phone: (386) 299-0698
Fax: (800) 853-5087
Approximate (ZIP-level) locationGet directions
Mailing address
5113 256th St
O Brien, FL 32071-4435
Registry dates
- Enumerated
- 2014-07-01
- Last updated
- 2014-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.