Mulberrys Mobile Provider Services

NPI #1831683861 in Hawthorne, Florida

Provider Information

NPI Number: 1831683861
Entity Type: Organization
Organization Name: Mulberrys Mobile Provider Services
Primary Specialty: General Practice
Enumeration Date: Jun 22, 2018
Last Updated: Feb 8, 2021

Practice Location

Address: 6435 SE US HIGHWAY 301
City: Hawthorne
State: Florida
ZIP Code: 32640-7309
Phone: (352) 358-8070

Authorized Official

Name: DR. MICHELL MULBERRY, DNP, APRN-BC
Title: PROVIDER, OWNER
Phone: (352) 358-8070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X
General Practice	208D00000X	Primary

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