Mulberry Physician Associates Incorporated

NPI #1801957881 in Lady Lake, Florida

Provider Information

NPI Number: 1801957881
Entity Type: Organization
Organization Name: Mulberry Physician Associates Incorporated
Primary Specialty: Internal Medicine
Enumeration Date: Dec 13, 2006
Last Updated: Sep 23, 2011

Practice Location

Address: 918 ROLLING ACRES RD
Address 2: SUITE #8
City: Lady Lake
State: Florida
ZIP Code: 32159-5027
Phone: (352) 750-6358

Authorized Official

Name: DR. CARMELITA CHINYERE EBURUCHE, MD
Title: OWNER
Phone: (352) 750-6358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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