Provider Demographics
NPI:1881212199
Name:MOBILE DOCTORS
Entity Type:Organization
Organization Name:MOBILE DOCTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-799-0707
Mailing Address - Street 1:185 NEWBERRY CMNS # 162
Mailing Address - Street 2:
Mailing Address - City:ETTERS
Mailing Address - State:PA
Mailing Address - Zip Code:17319-9362
Mailing Address - Country:US
Mailing Address - Phone:305-519-4903
Mailing Address - Fax:
Practice Address - Street 1:925 E BUTTER RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-6019
Practice Address - Country:US
Practice Address - Phone:305-519-4903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty