Mobile Physician Services Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0086161 Issued in FL

Legal business name

MOBILE PHYSICIAN SERVICES INC.

Practice address

6804 Cecelia Dr
New Port Richey, FL 34653-4935

Phone

(727) 232-0644

Fax

(888) 546-0488

NPI assigned

Sep 17, 2007

Last updated

May 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter RadiceNPI 1356339170

Title

Medical Director

Phone

(855) 232-0644

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Arthur Radice, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • New Port Richey, FL
  • NPI 1356339170

  OH

  Medicare reassignment Care Compare group NPD Authorized official
• Fernando Barja III, O.D.

  • Optometrist
  • New Port Richey, FL
  • NPI 1730521840
  Medicare reassignment Care Compare group NPD
• Cheryl Lynn Bonacquisti, ARNP-BC

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1114450483
  Medicare reassignment Care Compare group NPD
• Darla J Broderick-Breit, DO

  • Family Medicine Physician
  • New Port Richey, FL
  • NPI 1538133327
  Medicare reassignment Care Compare group NPD
• Heather Mary Bruneau, M.D., MPH

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1376770727
  Medicare reassignment Care Compare group NPD
• Desiree Colondres, NP

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1518643311
  Medicare reassignment Care Compare group NPD
• Leonne Moient Deravine, ARNP

  • Adult Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1245678119
  Medicare reassignment Care Compare group NPD
• Renee Danielle Dimmick, APRN

  • Primary Care Nurse Practitioner
  • New Port Richey, FL
  • NPI 1134927627
  Medicare reassignment Care Compare group NPD
• Maranda Earl, APRN

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1669019907
  Medicare reassignment Care Compare group NPD
• Christi Ganner Gagliano, APRN

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1205884269

  OH

  Medicare reassignment Care Compare group NPD
• Kelli Horstman

  • Nurse Practitioner
  • New Port Richey, FL
  • NPI 1003573072
  Medicare reassignment Care Compare group NPD
• Cambria Noel Hughes

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1952281107
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1003002759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "727-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4031 Colonel Glenn Hwy Ste 133",
            "address_purpose": "LOCATION",
            "city": "Beavercreek Township",
            "state": "OH",
            "postal_code": "454312774",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE PHYSICIAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "RADICE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-232-0644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0086161",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Margarita Mitchell
• Mark Wayne Mitchell, D.D.S.
• Paula Combs Mizeski, PHARM D.
• MNR Group LLC (Elfers Pharmacy)
• Mobile Personal Services Inc.
• Mobility Express, Inc.
• Mobility Solutions Inc.
• Lance M Mock
• Kamini Mohan
• Maria Daymar Molina Chacon, SA-C

• Internal Medicine Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.