Organization
SOS MOBILE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA EDWARD KOLANKO NP (OWNER/NURSE PRACTITIONER)
(813) 226-3332
Entity
Organization
Contact information
Practice address
16025 MUIRFIELD DR, ODESSA, FL 33556-2861
(813) 226-3332
(813) 793-7644
Mailing address
PO BOX 22, ODESSA, FL 33556-0022
(813) 226-3332
(813) 793-7644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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