NPI | 1174112007 |
---|---|
Doing Business As | MOBILE MEDICAL |
Entity Type | Organization |
Authorized Contact | ROBERT G YOUNG Secretary & CAO 904-733-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-01-14 |
Last Update Date | 2023-12-27 |