Organization
MOBILE MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY L STEWART PA-C (OWNER)
(516) 373-1222
Entity
Organization
Contact information
Practice address
3000 CENTRAL GARDENS CIR, PALM BEACH GARDENS, FL 33418-8700
(561) 406-9836
Mailing address
PO BOX 1902, JUPITER, FL 33468-1902
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3371
FL
Other
Enumeration date
04/04/2018
Last updated
06/16/2018
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