Organization
MULBERRYS MOBILE PROVIDER SERVICES
Active
Other names
Mulberrys Mobile Provider Services, LLC, MMPS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELL MULBERRY DNP, APRN-BC (PROVIDER, OWNER)
(352) 358-8070
Entity
Organization
Contact information
Practice address
6435 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7309
(352) 358-8070
(949) 577-4783
Mailing address
6435 SE US HIGHWAY 301, HAWTHORNE, FL 32640-7309
(352) 358-8070
(949) 577-4783
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106245700
—
FL
05
—
107001000
—
FL
Enumeration date
06/22/2018
Last updated
02/08/2021
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