| Organization Name: | MOBILE MEDICAL SERVICES L.L.C. |
| NPI Number: | 1295045086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON LEE HOOVER (OWNER) |
| Mailing Address: | 4304 Northcourse Ln Avon Park |
| State: | FL US |
| Postal Code: | 338258554 |
| Phone Number: | 8632571542 |
| Fax Number: | 8883868489 |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 02/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |