Organization
MOBILE MED DRIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLNELY POLANCO MARTINEZ RN (RN MANAGER)
(813) 476-0248
Entity
Organization
Contact information
Practice address
312 E 120TH AVE, TAMPA, FL 33612-5206
(813) 476-0248
Mailing address
312 E 120TH AVE, TAMPA, FL 33612-5206
(813) 476-0248
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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