Mobley, Brooke M

Mobley, Brooke M is an individual health care provider with primary practice located at 5130 Sunforest Dr Ste 300 , Tampa FL 33634-6327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mobley, Brooke M can be contacted via phone (727) 824-0780.

Contact Information

Primary practice address
5130 Sunforest Dr Ste 300 Tampa FL 33634-6327
Fax: (813) 514-8891
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS12262 Florida

Profile Details

NPI number 1376719609
LBN Legal business name Mobley, Brooke M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Nov 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376719609 NPPES
Florida MEDICAID 014870300

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