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MOBILE MEDICAL CLINIC LLC NPI 1427516335


NPI Information

NPI: 1427516335
Provider Name: MOBILE MEDICAL CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2201239

Address:
10543 SW WHOOPING CRANE WAY
PALM CITY, FL
ZIP 34990
Phone: (724) 632-4537
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MOBILE MEDICAL CLINIC LLC is a primary care clinic center in Palm City, FL. MOBILE MEDICAL CLINIC LLC NPI is 1427516335. The provider is registered as an organization entity type.

The provider's business location address is:

10543 SW WHOOPING CRANE WAY
PALM CITY, FL
ZIP 34990-806
Phone: (724) 632-4537

The provider's authorized official is Joseph Holbrook .
The authorized official title is Owner and has the following contact phone number (772) 463-2453.

The CLIA number assigned to this NPI record is 10D2201239 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2019 and was last updated on 3/10/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 5/5/2024

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