Healthcare Provider Details

I. General information

NPI: 1114545613
Provider Name (Legal Business Name): BUSY B MOBILE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 BELMONT LN # 2508
NORTH LAUDERDALE FL
33068-4296
US

IV. Provider business mailing address

2508 BELMONT LN # 2508
NORTH LAUDERDALE FL
33068-4296
US

V. Phone/Fax

Practice location:
  • Phone: 954-480-3585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: BRANDI STOVEALL
Title or Position: MGR
Credential:
Phone: 786-379-4865