MOBILE MEDICAL CARE (NPI# 1962927723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927723 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDICAL CARE |
| Practice Address |
11671 Declaration Drive Tampa FL 33635 |
| Mailing Address |
11671 Declaration Dr Tampa FL 33635-6338 |
| Practice Telephone | (813) 833-3011 |
| Practice Fax Number | 8137019056 |
| Mailing Telephone | 8138333011 |
| Mailing Fax Number | 8137019056 |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2017-08-13 |
| Authorized Official Name | LINDSEY CRONK (OWNER) |
| Authorized Official Telephone | 8138333011 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9305606 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396169587 | Mobile Medical Care | Nurse Practitioner | 2504 Cayer Ln, Suite C, Columbia, TN 38401-7383 | 2014-02-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MOBILE MEDICAL CARE SERVICES, P.C. | 187 Wolf Road, Suite 101, Albany, Ny 12205 |
| Street Address |
11671 DECLARATION DRIVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428638 | Tracy Lee | Behavioral Analyst | 6951 Pistol Ridge Road, Tampa, FL 33635 | 2016-03-02 |
| 1912301409 | Stacey-ann Samuels Taylor | Contractor | 6608 Camden Bay Drive, # 303, Tampa, TAMPA 33635 | 2014-10-13 |
| 1356753438 | Fountain of Youth Alf Inc | Assisted Living Facility | 9001 Bana Villa Ct, Tampa, FL 33635 | 2014-05-23 |
| 1518212646 | The Good Shepherd Sleep Center | Clinic/Center | 13668 W Hillsborough Ave, Tampa, FL 33635 | 2012-07-15 |
| 1033487343 | Crystal A Reinhart | Physical Therapist | 8417 Poydras Lane, Tampa, FL 33635 | 2011-12-01 |
| 1093002768 | Anthony Roosevelt Washington IIi | Family Medicine | 13608 W Hillsborough Ave, Tampa, FL 33635 | 2011-07-01 |
| 1710187778 | Jerome Abutal Abellana | Physical Therapist | 8504 Tidal Bay Ln, Tampa, FL 33635 | 2007-07-18 |
| 1902298433 | Cindy Ceja | Behavioral Analyst | 6951 Pistol Range Rd, Tampa, FL 33635 | 2015-02-20 |
| 1265842249 | Christine Ann Roeper | Technician, Other | 6951 Pistol Range Rd, Tampa, FL 33635 | 2014-04-30 |
| 1215496641 | Tampa Family Health Centers | Pharmacy | 12085 W. Hillsborough Ave., Tampa, FL 33635-0000 | 2019-03-15 |
| Find all providers in zip 33635 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717998 | Anabel Jimenez | Nurse Practitioner | 4221 W Spruce St Apt 2320, Tampa, FL 33607-7253 | 2020-07-16 |
| 1972150050 | Rebecca Rose Amos | Nurse Practitioner | 10631 Parkers Landing Dr Apt 331, Tampa, FL 33615-5838 | 2019-08-22 |
| 1528615184 | Kathleen Smith | Nurse Practitioner | 601 Channelside Walk Way Apt 1438, Tampa, FL 33602-6741 | 2019-08-19 |
| 1972986941 | Eland Health Careers Training & Exam Prep LLC | Nurse Practitioner | 1441 E Fletcher Ave Ste 221b, Tampa, FL 33612-8808 | 2015-07-08 |
| 1467796128 | Diane Regina Jackson | Nurse Practitioner | 1248 E Hillsborough Ave, 221, Tampa, FL 33604-7201 | 2012-11-19 |
| 1043474869 | Malini P Mcdonald | Nurse Practitioner | 2901 W Hillsborough Ave, Suite # C, Tampa, FL 33614-6054 | 2008-07-10 |
| 1053424945 | Susan S Bingham | Nurse Practitioner | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2006-08-16 |
| 1003425232 | Sara Elizabeth Graves | Nurse Practitioner | 5106 N Armenia Ave Ste 1, Tampa, FL 33603-1433 | 2020-07-23 |
| 1912523481 | Timothy Bondell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-22 |
| 1093206492 | Brettashley Montero | Nurse Practitioner | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618 | 2018-05-22 |
| Find all providers in TAMPA | ||||
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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.