| Mobile Practitioner Llc | |
|
25214 Black Bear Ln Eustis FL 32736-9044 | |
| (352) 409-7899 | |
| Not Available |
| Full Name | Mobile Practitioner Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 25214 Black Bear Ln, Eustis, Florida |
| Authorized Official Name and Position | Sarah Sellers (OWNER) |
| Authorized Official Contact | 3524097899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Practitioner Llc 25214 Black Bear Ln Eustis FL 32736-9044 Ph: () - | Mobile Practitioner Llc 25214 Black Bear Ln Eustis FL 32736-9044 Ph: (352) 409-7899 |
| NPI Number | 1588424576 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588424576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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