MOS LLC NPI 1194701862

NPI Information

MOS LLC is an adult health nurse practitioner in Madison, FL. MOS LLC NPI is 1194701862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Down Home Medical.

The provider's business location address is:

256 SW WASHINGTON AVE
MADISON, FL
ZIP 32340
Phone: (850) 973-4590
Fax: (850) 973-4929

The provider's authorized official is Tammy Williams .
The authorized official title is Owner and has the following contact phone number (850) 973-4590.

The CLIA number assigned to this NPI record is 10D1009892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 7/31/2013.

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:

Other Identifiers

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