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General NPI Number Information
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NPI Number | 1417187261
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICS ANCILLARY SERVICES INC
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 8910 W PARKLAND BAY TRL
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City | PARKLAND
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State | FL
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Zip | 33076-4872
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Country | US
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Telephone | 954-562-5855
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Fax | 954-775-0019
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Provider Business Mailing Address
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Address Line | 8910 W PARKLAND BAY TRL
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City | PARKLAND
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State | FL
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Zip | 33076-4872
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Country | US
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Telephone | 954-562-5855
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Fax | 954-775-0019
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Authorized Official
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Title or Position | OFFICE DIRECTOR
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Name | MUKESH WADHWA
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Credential | NP
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Telephone | 954-562-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14086
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9165576
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License Number State | FL
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