MOBILE PVD, LLC (NPI# 1811389950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811389950 |
| Entity Type | Organization |
| Organization Name | MOBILE PVD, LLC |
| Practice Address |
3109 Stirling Rd 100-b Fort Lauderdale FL 33312-6558 |
| Practice Telephone | 9543152002 |
| Practice Fax Number | 9543372402 |
| Mailing Telephone | 9543152002 |
| Mailing Fax Number | 9543372402 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | MATTHEW ROGERS (CEO) |
| Authorized Official Telephone | 9149128858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
3109 STIRLING RD 100-B |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-6558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588098669 | Palm Vascular Center of Broward, LLC | Surgery | 3109 Stirling Rd, Suite 100, Fort Lauderdale, FL 33312-6558 | 2013-08-26 |
| 1295983765 | James Shoukas Md Pa | Clinic/Center | 3109 Stirling Rd, Suite 100, Fort Lauderdale, FL 33312-6558 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720022 | Patient First Diagnostics | Clinic/Center | 575 Ne 5th Ter Apt 753, Fort Lauderdale, FL 33301-2170 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770450 | Mobile Medical Scanner LLC | Clinic/Center | 3911 Sw 47th Ave Ste 901, Davie, FL 33314-2818 | 2020-04-30 |
| 1164078937 | Des Mobile Diagnostics Imaging Inc | Clinic/Center | 10820 W Old Cutler Rd, Miami, FL 33170-6551 | 2019-08-16 |
| 1093278467 | America Diagnostic Inc | Clinic/Center | 100 E Linton Blvd Ste 204a, Delray Beach, FL 33483-3336 | 2019-04-11 |
| 1770066359 | S&s Life Scan Corp | Clinic/Center | 1118 Nw 124th Ct # 1118, Miami, FL 33182-2447 | 2018-09-10 |
| 1174017743 | National Medical Providers LLC | Clinic/Center | 11564 Puerto Blvd, Boynton Beach, FL 33437-4028 | 2018-06-18 |
| 1922537489 | Portable Ultrasound Services Inc | Clinic/Center | 11021 Sw 44 Street, Miami, FL 33165 | 2017-06-08 |
| 1003343740 | Qualis Diagnostics LLC | Clinic/Center | 1900 N Bayshore Dr Ste 1a162, Miami, FL 33132-3001 | 2017-05-12 |
| 1114468402 | Navarro Mobile Imaging Corp. | Clinic/Center | 100 Bayview Drive, Apartment :211, Sunny Isles Beach, FL 33160-4781 | 2017-03-20 |
| 1760932727 | Ultra-dx, Inc | Clinic/Center | 222 Andalusia Dr, Palm Beach Gardens, FL 33418-1736 | 2016-10-13 |
| 1245693944 | Lobaton Herrera Associates | Clinic/Center | 12179 Nw 83rd Pl, Coral Springs, FL 33076-3492 | 2016-03-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on MOBILE PVD, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.