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Organization

SOARINGWELL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOBOLA CAMPBELL MD (DR.)
(904) 563-6217
Entity
Organization

Contact information

Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 596-6632
Mailing address
3547 53RD AVE W # 128, BRADENTON, FL 34210-3489
(904) 563-6217

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RI0200X
Infectious Disease Physician
Primary
208M00000X
Hospitalist Physician

Other

Enumeration date
10/30/2023
Last updated
03/26/2024
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