Provider Profile
FRUITFUL VINE MIDWIFERY SERVICE
Birth Center
FACILITY PROFILE
Street Address
- 2221 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217-2041
County: Duval - Phone: (904) 855-4211
Mailing Address
- 2221 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217-2041
County: Duval - Phone: (904) 855-4211
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Birth Center | ||||||
| Administrator: | SHARON D SCHMIDT | ||||||
| Financial Officer: | SHARON D SCHMIDT | ||||||
| Owner/Licensee: | FRUITFUL VINE MIDWIFERY SERVICE, INC | ||||||
| Owner/Licensee Since: | 3/24/2010 | ||||||
| |||||||
| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 2 | ||||||
| Bed Types: | Birthing Rooms: 2 | ||||||
| AHCA Number (File Number): | 15960088 | ||||||
| AHCA Field Office: | 04 | ||||||
| License Number: | 324 | ||||||
| Current License Effective: | 7/28/2024 | ||||||
| Current License Expires: | 7/27/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
Not Available
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 6/22/2020 | 2020010818 | Fine | Licensure | $400.00 | 10/20/2020 |
| 8/22/2017 | 2017009587 | Fine | Licensure | $500.00 | 12/21/2017 |
| 7/5/2016 | 2016007587 | Fine | Application | $400.00 | 8/22/2016 |
| 2/27/2013 | 2013002307 | Fine | Application | $2,000.00 | 4/11/2013 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.