Mobile Woc, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9227059 Issued in FL

Legal business name

MOBILE WOC, LLC

Practice address

9025 Pomelo Rd W
Fort Myers, FL 33967-3723

Phone

(239) 265-3391

Fax

(239) 425-3214

NPI assigned

Oct 17, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth M Larson, MSN, CWOCN, ARNP

Title

President

Phone

(239) 265-3391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1003287988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 POMELO RD W",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673723",
            "telephone_number": "239-265-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 POMELO RD W",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673723",
            "telephone_number": "239-265-3391",
            "fax_number": "239-425-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-265-3391",
        "authorized_official_credential": "MSN, CWOCN, ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9227059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Mitton
• Ryan A Mizell, M.D.
• Deborah Jean Mizerak, MS CCC-SLP MBA
• MLC Behavior Care LLC
• Mobile Dental Care of Florida LLC
• Mobile Wound Care Collaborative LLC
• Mobility PT
• Bridget Modica
• Pawanard Modpradit, APRN
• Anna Moffitt

• Adult Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.