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Mulberrys Mobile Provider Services
Primary Care Nurse Practitioner in Hawthorne, Florida
NPI 1831683861

Mulberrys Mobile Provider Services is a Primary Care Nurse Practitioner based in Hawthorne, FL and is specialized in Primary Care. Mulberrys Mobile Provider Services practices in Hawthorne, FL. The NPI Number for Mulberrys Mobile Provider Services is 1831683861 and holds a License No. (Florida).

The current practice location address for Mulberrys Mobile Provider Services is 6435 Se Us Highway 301, Hawthorne, FL and can be reached out via phone at 352-358-8070 and via fax at 949-577-4783.

Location: 6435 Se Us Highway 301, Hawthorne, FL, 32640-7309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831683861
Provider Name
Mulberrys Mobile Provider Services
Credential
Provider Entity Type
Organization
Address
6435 Se Us Highway 301, Hawthorne, FL, 32640-7309
Phone Number
352-358-8070
Fax Number
949-577-4783
Provider Enumeration Date
06/22/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106245700 05 FL
107001000 05 FL
institution
Provider Business Practice Location Address Details
Address
6435 Se Us Highway 301
City
Hawthorne
State
Florida
Zip
32640-7309
Phone Number
352-358-8070
Fax Number
949-577-4783
person
Provider Business Mailing Address Details
Address
6435 Se Us Highway 301
City
Hawthorne
State
Florida
Zip
32640-7309
Phone Number
352-358-8070
Fax Number
949-577-4783
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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