| Organization Name: | COMPLETE MOBILE HEALTHCARE, LLC |
| NPI Number: | 1316252067 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON ANNA BRIDGES (MANAGER) |
| Mailing Address: | 1111 Arbor Hill Cir Minneola |
| State: | FL US |
| Postal Code: | 347157472 |
| Phone Number: | 3522237779 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2010 |
| NPI Last Update Date: | 08/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3052562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |