| Medical/dental Mobile Unit | |
|
220 Barton Blvd Unit C14 Rockledge FL 32955-2742 | |
| (321) 639-5177 | |
| (321) 639-4927 |
| Full Name | Medical/dental Mobile Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 220 Barton Blvd, Rockledge, Florida |
| Authorized Official Name and Position | Angela Craig (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3219529696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical/dental Mobile Unit Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 952-9696 | Medical/dental Mobile Unit 220 Barton Blvd Unit C14 Rockledge FL 32955-2742 Ph: (321) 639-5177 |
| NPI Number | 1730423021 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730423021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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