# MOBILE DOCTORS OF FLORIDA PA

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

## Provider details

- **NPI number:** 1720312440
- **Authorized official:** DR. JASON XUNA OD (PRESIDENT)
- **Authorized official phone:** (305) 717-8181

## Contact information

- **Practice address:** 1881 79TH STREET CSWY, 2006, NORTH BAY VILLAGE, FL 33141-4222
- **Practice address phone:** (305) 439-2015
- **Practice address fax:** (305) 675-0443
- **Mailing address:** 1881 79TH STREET CSWY, 2006, NORTH BAY VILLAGE, FL 33141-4222
- **Mailing address phone:** (305) 717-8181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4397 | FL | Yes |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 10/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621009100 | — | FL |
