MOBILE MEDICAL ASSOCIATES, P.L. (NPI# 1932496783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932496783 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDICAL ASSOCIATES, P.L. |
| Practice Address |
816 Se Ocean Blvd Suite B Stuart FL 34994-2428 |
| Mailing Address |
938 Sw Martin Downs Blvd Ste 200 Palm City FL 34990-2816 |
| Practice Telephone | 7722217620 |
| Practice Fax Number | 7722217681 |
| Mailing Telephone | 7722217620 |
| Mailing Fax Number | 7722219003 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | LAURIE GRISSMAN MCCUEN (PRESIDENT) |
| Authorized Official Telephone | 7722217620 |
| Authorized Official Credential | ARNP, DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
816 SE OCEAN BLVD SUITE B |
| City | STUART |
| State | FL |
| Zip Code | 34994-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700979515 | Walter D Devault IIi | Internal Medicine | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2006-10-02 |
| 1740810613 | Jeniffer Won | Nurse Practitioner | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2020-01-20 |
| 1700416880 | Vera Rastrelli | Nurse Practitioner | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2020-01-17 |
| 1821416488 | Moore Primary Care LLC | Nurse Practitioner | 816 Se Ocean Blvd, Suite B, Stuart, FL 34994-2428 | 2014-04-01 |
| 1023299609 | Walter D. Devault IIi M.d. P.a. | Internal Medicine | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2007-11-23 |
| 1730240326 | Lisa S Moore | Nurse Practitioner | 816 Se Ocean Blvd, Suite B, Stuart, FL 34994-2428 | 2006-12-13 |
| 1710068606 | Mary Patricia Ettari | Physician Assistant | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563927 | Justin M Dowd | Nurse Practitioner | 5702 Se Hull St, Stuart, FL 34997-2407 | 2020-06-19 |
| 1689206856 | Janine Benedetto | Nurse Practitioner | 1600 Sw Belgrave Ter, Stuart, FL 34997-7069 | 2020-02-06 |
| 1417504564 | Heather Michelle Hershberger | Nurse Practitioner | 1800 Sw Hackman Ter, Stuart, FL 34997-7006 | 2019-08-23 |
| 1447810825 | Allison Nicole Rudd | Nurse Practitioner | 2220 Se Ocean Blvd Ste 301, Stuart, FL 34996-3301 | 2019-06-18 |
| 1306313523 | Leah Nicole Catullo | Nurse Practitioner | 260 Se Cardinal Trl, Stuart, FL 34997-7304 | 2018-10-25 |
| 1275018731 | Heather Marie Hilton | Nurse Practitioner | 501 Se Osceola St Ste 100, Stuart, FL 34994-2302 | 2018-10-01 |
| 1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
| 1578067435 | Cassandra A Jackson | Nurse Practitioner | 298 Sw Walking Path, Stuart, FL 34997-3038 | 2018-03-23 |
| 1538686977 | Deborah Suzanne Swain | Nurse Practitioner | 2675 Nw South Shore Rd, Stuart, FL 34994-9162 | 2017-08-25 |
| 1710401104 | Sandra Velasquez | Nurse Practitioner | 1050 Se Monterey Rd Ste 203, Stuart, FL 34994-4512 | 2017-07-27 |
| Find all providers in STUART | ||||
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| 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.