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Organization

MOBILE MEDICS ANCILLARY SERVICES INC

Active
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Organization

MOBILE MEDICS ANCILLARY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUKESH WADHWA NP (OFFICE DIRECTOR)
(954) 562-5855
Entity
Organization

Contact information

Practice address
8910 W PARKLAND BAY TRL, PARKLAND, FL 33076-4872
(954) 562-5855
(954) 775-0019
Mailing address
8910 W PARKLAND BAY TRL, PARKLAND, FL 33076-4872
(954) 562-5855
(954) 775-0019

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14086
FL
363LF0000X
Family Nurse Practitioner
Primary
9165576
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111782700
—
FL
01
—
9239596
AETNA
FL
01
—
Y03VK
BCBS
FL
Enumeration date
07/15/2009
Last updated
06/05/2025
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