| NPI | 1154044204 |
|---|---|
| Other Name | MOBILE MEDICAL VAN |
| Entity Type | Organization |
| Authorized Contact | SHERRY HOBACK CEO/President 813-866-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-07-17 |