| Mobile Medical Health Service | |
|
21840 Sw 1st St Dunnellon FL 34431-1641 | |
| (352) 286-6553 | |
| (352) 559-0587 |
| Full Name | Mobile Medical Health Service |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 21840 Sw 1st St, Dunnellon, Florida |
| Authorized Official Name and Position | Armelle Guiteau Osias (OWNER) |
| Authorized Official Contact | 3522866553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Health Service 21840 Sw 1st St Dunnellon FL 34431-1641 Ph: (352) 286-6553 | Mobile Medical Health Service 21840 Sw 1st St Dunnellon FL 34431-1641 Ph: (352) 286-6553 |
| NPI Number | 1073985537 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/14/2024 |
| Medicare PECOS PAC ID | 0042520330 |
|---|---|
| Medicare Enrollment ID | O20151117002889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073985537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP9215818 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9215818 (Florida) | Primary |
| Provider Name | Armelle G Osias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154311868 PECOS PAC ID: 7315090347 Enrollment ID: I20090807000608 |
| Provider Name | Ernst Nicanor Osias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578008702 PECOS PAC ID: 9032495130 Enrollment ID: I20170403002554 |
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