| Entity Name: | BIRTH AND BEYOND, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Feb 2000 (25 years ago) |
| Document Number: | P00000018989 |
| FEI/EIN Number | 59-3624383 |
| Address: | 209 Blossom Drive, Interlachen, FL, 32148, US |
| Mail Address: | 209 Blossom Drive, Interlachen, FL, 32148, US |
| ZIP code: | 32148 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902833668 | 2006-06-27 | 2016-03-08 | PO BOX 380129, GRANDIN, FL, 321380129, US | 1326 STATE ROAD 100, GRANDIN, FL, 32138, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-659-2104 |
Authorized person
| Name | ANITA LENAS |
| Role | OWNER ADMINISTRATOR CLINICIAN |
| Phone | 3866592104 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP796842 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 367A00000X - Advanced Practice Midwife |
| License Number | ARNP796842 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 660121900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 660121901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LENAS ANITA L | Agent | 209 BLOSSOM DR., INTERLACHEN, FL, 32148 |
| Name | Role | Address |
|---|---|---|
| LENAS ANITA L | President | 209 BLOSSOM DRIVE, INTERLACHEN, FL, 32148 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
