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Contact Information

ADVANCE MOBILE PRACTICE LLC
220 CATALINA ISLE DR
MERRITT ISLAND, FL32953-3246
 Phone: 321-537-8997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCE MOBILE PRACTICE LLC · (Female)

NPI # 1366313041
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2025
Last updated 09/15/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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