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Organization
MOBILE PHYSICIANS GROUP INC
Active
Organization
MOBILE PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA L SCHWARTZ (VP TAX)
(972) 201-3819
Entity
Organization
Contact information
Practice address
1010 E NEW HAVEN AVE STE B, MELBOURNE, FL 32901
(321) 259-3733
Mailing address
1010 E NEW HAVEN AVE STE B, MELBOURNE, FL 32901-5603
(321) 259-3733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/25/2013
Last updated
11/13/2019
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