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Organization
MULBERRYS MOBILE PROVIDER SERVICES
Active
Organization
MULBERRYS MOBILE PROVIDER SERVICES
Active
Other names
Mulberrys Mobile Provider Services, LLC, MMPS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELL MULBERRY DNP, APRN-BC (PROVIDER, OWNER)
(352) 358-8070
Entity
Organization
Contact information
Practice address
6435 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7309
(352) 358-8070
(949) 577-4783
Mailing address
6435 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7309
(352) 358-8070
(949) 577-4783
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106245700
—
FL
05
—
107001000
—
FL
Enumeration date
06/22/2018
Last updated
02/08/2021
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