Southern Mobile Labs

Specialty details in registry · North Port, FL

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At a glance

4132 Renova Ave, North Port, FL 34286-4281

NPPES record updated Oct 30, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4132 Renova Ave
North Port, FL 34286-4281
Professional details: NPI, taxonomy & registry record
NPI1942800685
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
246RP1900X
Enumeration date
Oct 30, 2020
Record updated
Oct 30, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

246RP1900X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4132 Renova Ave
North Port, FL 34286-4281
Phone
(941) 457-3591
Mailing address
4132 RENOVA AVE

NORTH PORT, FL 342864281
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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