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Organization

MOBILE WOC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH M LARSON MSN, CWOCN, ARNP (PRESIDENT)
(239) 265-3391
Entity
Organization

Contact information

Practice address
9025 POMELO RD W, FORT MYERS, FL 33967-3723
(239) 265-3391
(239) 425-3214
Mailing address
9025 POMELO RD W, FORT MYERS, FL 33967-3723
(239) 265-3391

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9227059
FL

Other

Enumeration date
10/17/2015
Last updated
10/17/2015
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