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Active NPI 1588424576 Organization (Entity Type 2)

Mobile Practitioner Llc

Family Medicine • Eustis, FL

About Mobile Practitioner Llc NPI 1588424576 Summary

Mobile Practitioner Llc is a verified healthcare organization specializing in Family Medicine operating in Eustis, FL. Located at 25214 BLACK BEAR LN, this facility provides patient care and medical services under National Provider Identifier (NPI) 1588424576.

Administrative operations and authorized compliance are overseen by Sarah Sellers (Owner).

Facility Location & Contact Primary Location

Facility Address

25214 Black Bear Ln

Eustis, FL 327369044

Telephone 3524097899

Authorized Official Information

Authorized Contact Name

Sarah Sellers

Title / Role

Owner

Official Telephone

3524097899

Facility Classifications & Specialties

Family Medicine Primary Taxonomy

NUCC Taxonomy Code: 207Q00000X

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 19, 2024

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2024

Registered at 25214 BLACK BEAR LN, EUSTIS, FL 327369044 (Tel: 3524097899)

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Updated Business Mailing Address March 19, 2024

Registered at 25214 BLACK BEAR LN, EUSTIS, FL 327369044

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Organization / Clinic Name Updated March 19, 2024

Operating as MOBILE PRACTITIONER LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Family Medicine

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Initial NPI Registration & Enumeration March 19, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1588424576
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 19, 2024
Last Update: March 19, 2024

Mailing Address

25214 Black Bear Ln

Eustis, FL 327369044

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.