Organization
BAY AREA MOBILE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNISE BELIZAIRE (OWNER)
(813) 924-8911
Entity
Organization
Contact information
Practice address
15000 CITRUS COUNTRY DR # 414, DADE CITY, FL 33523-6014
(813) 924-8911
Mailing address
15000 CITRUS COUNTRY DR # 414, DADE CITY, FL 33523-6014
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
03/30/2021
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