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NP MOBILE MEDICAL GROUP LLC NPI 1154780450


NPI Information

NPI: 1154780450
Provider Name: NP MOBILE MEDICAL GROUP, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2195170

Address:
11580 MELLOW CT
WEST PALM BEACH, FL
ZIP 33411
Phone: (561) 267-3345
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NP MOBILE MEDICAL GROUP, LLC is a family nurse practitioner in West Palm Beach, FL. NP MOBILE MEDICAL GROUP, LLC NPI is 1154780450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11580 MELLOW CT
WEST PALM BEACH, FL
ZIP 33411-125
Phone: (561) 267-3345
Fax: (888) 939-4244

The provider's authorized official is Michelle Bowman .
The authorized official title is President and has the following contact phone number (561) 719-2223.

The CLIA number assigned to this NPI record is 10D2195170 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 3/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyARNP9214512FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17511795OTHERCIGNA PROVIDER NUMBER
2YOM6JOTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.