| Organization Name: | MOBILE MEDICAL ADVANTAGE INC |
| NPI Number: | 1891708020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARLENE T RODRIGUEZ (PRES CEO) |
| Mailing Address: | 1 Purliece Place Suite 131 Winter Park |
| State: | FL US |
| Postal Code: | 32792 |
| Phone Number: | 4077407554 |
| Fax Number: | 4077407751 |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC6675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |