Provider Demographics
NPI:1316680291
Name:KURE MOBILE MEDICAL, LLC
Entity type:Organization
Organization Name:KURE MOBILE MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLOREA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:561-677-9658
Mailing Address - Street 1:157 SEASHORE DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-9687
Mailing Address - Country:US
Mailing Address - Phone:561-677-9658
Mailing Address - Fax:
Practice Address - Street 1:157 SEASHORE DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-9687
Practice Address - Country:US
Practice Address - Phone:561-677-9658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty