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NPI Code Detail

MEDICARE: MOBILE DIAGNOSTIC SOLUTIONS LLC

MEDICARE: MOBILE DIAGNOSTIC SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1699094490
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE DIAGNOSTIC SOLUTIONS LLC
Provider Business Mailing Address
First Line : 907 OUTER RD
Second Line : SUITE B
City : ORLANDO
State : FL
Zip : 32814-6601
Country : US
Telephone Number : 407-574-2127
Fax Number : 407-574-5628
Provider Business Practice Location Address
First Line : 907 OUTER RD
Second Line : SUITE B
City : ORLANDO
State : FL
Zip : 32814-6601
Country : US
Telephone Number : 407-574-2127
Fax Number : 407-574-5628
Authorized Official
Title or Position : PRESIDENT
Name : MORGAN KANE
Credential :
Telephone Number : 407-694-2813
Provider Enumeration Date : 05/19/2010
Last Update Date : 08/31/2010

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Directions to “MOBILE DIAGNOSTIC SOLUTIONS LLC ” Practice Location

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