Organization
MOBILE PHYSICIAN SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER RADICE (MEDICAL DIRECTOR)
(855) 232-0644
Entity
Organization
Contact information
Practice address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Mailing address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(855) 232-0644
(888) 546-0488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207R00000X
Internal Medicine Physician
Primary
ME0086161
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000MQ
BCBS GROUP
FL
05
—
007870000
—
FL
05
—
0404354
—
OH
05
—
128679200
—
FL
01
—
K9757
PTAN
FL
01
—
K9757A
FL PTAN
FL
01
—
MEDICARE NPI
1003002759
FL
Enumeration date
09/17/2007
Last updated
03/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us