Mobile Physician Services Pa

NPI 1003002759 - Optometrist - 152W00000X

NPI Details
NPI 1003002759
Enumeration Date 09/17/2007
Last Updated 06/21/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD M RICHARD
Position PRESIDENT
Phone (727) 232-0644
Fax (888) 546-0488
Practice Location
6804 CECELIA DR
NEW PORT RICHEY FL, 34653-4935, US
Phone (727) 232-0644
Fax (888) 546-0488
Business Location
6804 CECELIA DR
NEW PORT RICHEY FL, 34653-4935, US
Phone (727) 232-0644
Fax (888) 546-0488
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC2447
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According to our database, Mobile Physician Services Pa NPI is 1003002759, taxonomy code is 152W00000X and license number is OPC2447, license state is located at Florida. Mobile Physician Services Pa physically located at 6804 Cecelia Dr, New Port Richey FL, 34653-4935. NPI Number 1033115704 has the healthcare provider type.

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1003002759 NPI number is provided on an as is basis without warranty of any kind. 1003002759 is maintained by the National Plan & Provider Enumeration System. The contents of Mobile Physician Services Pa are for informational purposes only.