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General NPI Number Information
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NPI Number | 1588948681
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Entity Type | Organization
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Legal Business Name | MOBILE PHYSICIANS INC
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 2298 NW 2ND AVE SUITE 21
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City | BOCA RATON
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State | FL
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Zip | 33431-7458
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Country | US
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Telephone | 561-235-5092
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Fax | 561-235-5193
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Provider Business Mailing Address
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Address Line | 2298 NW 2ND AVE SUITE 21
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City | BOCA RATON
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State | FL
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Zip | 33431-7458
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Country | US
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Telephone | 561-235-5092
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Fax | 561-235-5193
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Authorized Official
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Title or Position | OWNER
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Name | SHARON BLUE ANDERSON
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Credential |
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Telephone | 561-235-5092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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