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Organization
MOBILE PRACTITIONERS GROUP INC
Active
Organization
MOBILE PRACTITIONERS GROUP INC
Active
Other names
Mobile Practitioners Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEDRICK SHIELDS NURSE PRACTITONER (OWNER)
(904) 477-3138
Entity
Organization
Contact information
Practice address
3363 DIONE ST, WEST MELBOURNE, FL 32904-7582
(904) 477-3138
Mailing address
3363 DIONE ST, WEST MELBOURNE, FL 32904-7582
(904) 477-3138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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