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6150 Omni Park Dr Mobile AL 36609-5195 | |
(251) 639-7959 | |
(251) 639-7510 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 6150 Omni Park Dr, Mobile, Alabama |
Authorized Official Name and Position | Ed Brown (GROUP VICE PRESIDENT) |
Authorized Official Contact | 9545963976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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111 Jim Moran Blvd Deerfield Beach FL 33442-1701 Ph: (954) 429-2418 | 6150 Omni Park Dr Mobile AL 36609-5195 Ph: (251) 639-7959 |
NPI Number | 1942690458 |
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Provider Enumeration Date | 02/04/2015 |
Last Update Date | 02/04/2015 |
Identifier | Type | State | Issuer |
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1942690458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |