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Contact Information

1ST STICK MOBILE MEDICAL SERVICES, LLC
139 S PEBBLE BEACH BLVD STE 107
SUN CITY CENTER, FL33573-4711
 Phone: 813-296-3232
 Fax: 813-213-9228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for 1ST STICK MOBILE MEDICAL SERVICES, LLC

NPI # 1770316333
LBN Legal business name 1ST STICK MOBILE MEDICAL SERVICES, LLC
Authorized official ALFREDIA WHITE - (OWNER/ NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2024
Last updated 08/20/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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