MOBILE MEDICAL SERVICES L.L.C. NPI 1295045086

NPI Information

NPI: 1295045086
Provider Name: MOBILE MEDICAL SERVICES L.L.C.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4304 NORTHCOURSE LN
AVON PARK, FL
ZIP 33825
Phone: (863) 257-1542
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MOBILE MEDICAL SERVICES L.L.C. is a family nurse practitioner in Avon Park, FL. MOBILE MEDICAL SERVICES L.L.C. NPI is 1295045086. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4304 NORTHCOURSE LN
AVON PARK, FL
ZIP 33825-554
Phone: (863) 257-1542
Fax: (888) 386-8489

The provider's authorized official is Sharon Lee Hoover .
The authorized official title is Owner and has the following contact phone number (863) 257-1542.

The enumeration date for this NPI number is 10/14/2010 and was last updated on 2/18/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	660219300	OTHER	FLORIDA	MEDIPASS
2	311292600	MEDICAID	FLORIDA
3	P34905	OTHER	FLORIDA	UPIN

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: 11/14/2023

NPI Synchronization or Removal

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