| 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 |