| Soaringwell Llc | |
|
11375 Cortez Blvd Brooksville FL 34613-5409 | |
| (352) 596-6632 | |
| Not Available |
| Full Name | Soaringwell Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11375 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Mobola Campbell (DR.) |
| Authorized Official Contact | 9045636217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaringwell Llc 3547 53rd Ave W # 128 Bradenton FL 34210-3489 Ph: (904) 563-6217 | Soaringwell Llc 11375 Cortez Blvd Brooksville FL 34613-5409 Ph: (352) 596-6632 |
| NPI Number | 1295508588 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 3274984836 |
|---|---|
| Medicare Enrollment ID | O20240108004321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295508588 | NPI | - | NPPES |
| Provider Name | Mobola T Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295940138 PECOS PAC ID: 4082702907 Enrollment ID: I20200729003239 |
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