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Florida Mobile Physicians,llc

Assisted Living Facility, Assisted Living, Behavioral Disturbances in Lakewood Ranch, FL. Organization (NPI-2).

NPI number1124476585
StatusActive
Last updated in NPPESMay 26, 2016

Details

NPI
1124476585
Entity type
Organization (NPI-2)
Legal business name
Florida Mobile Physicians,llc
Organization subpart
No
Enumeration date
May 26, 2016
Last updated
May 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0630X Assisted Living Facility, Assisted Living, Behavioral DisturbancesARNP2858852FLYes
310400000X Assisted Living FacilityARNP 2858852FL

Practice location

7313 International Pl Ste 80
Lakewood Ranch, FL 34240-8406

Phone 941-907-1190

Mailing address

7313 International Pl Ste 80
Lakewood Ranch, FL 34240-8406

Phone 941-907-1190

Authorized official

Lalanya Robertson
Clinical Director
9419071190

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