Organization
FLORIDA MOBILE PHYSICIANS,LLC
Active
Organization
FLORIDA MOBILE PHYSICIANS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALANYA ROBERTSON (CLINICAL DIRECTOR)
(941) 907-1190
Entity
Organization
Contact information
Practice address
7313 INTERNATIONAL PL STE 80, LAKEWOOD RANCH, FL 34240-8406
(941) 907-1190
Mailing address
7313 INTERNATIONAL PL STE 80, LAKEWOOD RANCH, FL 34240-8406
(941) 907-1190
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ARNP 2858852
FL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
ARNP2858852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093113086
NPI
—
01
—
IB626A
PTAN/MEDICARE NUMBER
—
Enumeration date
05/26/2016
Last updated
05/26/2016
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