Organization
AGAPE MOBILE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LURIE APRN (APRN)
(877) 724-2736
Entity
Organization
Contact information
Practice address
2050 OLEANDER BLVD APT 1-203, FORT PIERCE, FL 34950-5315
(772) 834-1024
Mailing address
2050 OLEANDER BLVD APT 1-203, FORT PIERCE, FL 34950-5315
(877) 724-2736
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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