Organization
U.S. MOBILE DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JOHN TRANTALIS D.P.M. (CO-OWNER/MEDICAL DIRECTOR)
(954) 461-8624
Entity
Organization
Contact information
Practice address
3907 N FEDERAL HWY, SUITE 112, POMPANO BEACH, FL 33064-6042
(954) 461-8624
(954) 596-8132
Mailing address
3907 N FEDERAL HWY, SUITE 112, POMPANO BEACH, FL 33064-6042
(954) 461-8624
(954) 596-8132
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
HCC6512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6512
STATE LICENSE NUMBER
FL
Enumeration date
05/20/2006
Last updated
10/15/2007
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