| Mobile Medical Advantage Inc | |
|
1 Purliece Place Suite 131 Winter Park FL 32792 | |
| (407) 740-7554 | |
| (407) 740-7751 |
| Full Name | Mobile Medical Advantage Inc |
|---|---|
| Speciality | General Practice |
| Location | 1 Purliece Place, Winter Park, Florida |
| Authorized Official Name and Position | Marlene T Rodriguez (PRES CEO) |
| Authorized Official Contact | 4077407554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Advantage Inc 1 Purliece Place Suite 131 Winter Park FL 32792 Ph: (407) 740-7554 | Mobile Medical Advantage Inc 1 Purliece Place Suite 131 Winter Park FL 32792 Ph: (407) 740-7554 |
| NPI Number | 1891708020 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891708020 | NPI | - | NPPES |
| 02701 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | HCC6675 (Florida) | Primary |
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