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Organization

MOBILE VILLAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARRYL SCOT MCDONALD MBA (CFO)
(813) 763-3537
Entity
Organization

Contact information

Practice address
2118 HOLLOMAN RD, PLANT CITY, FL 33567-3720
(813) 763-3537
Mailing address
6151 STEWART RIDGE WALK, BUFORD, GA 30518-2583
(813) 763-3537

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/28/2008
Last updated
12/28/2008
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Product
  • Claims
  • Eligibility checks
  • EDI platform