# AGAPE MOBILE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043957350
- **Authorized official:** MRS. REBECCA LURIE APRN (APRN)
- **Authorized official phone:** (877) 724-2736

## Contact information

- **Practice address:** 2050 OLEANDER BLVD APT 1-203, FORT PIERCE, FL 34950-5315
- **Practice address phone:** (772) 834-1024
- **Mailing address:** 2050 OLEANDER BLVD APT 1-203, FORT PIERCE, FL 34950-5315
- **Mailing address phone:** (877) 724-2736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 05/18/2022