Mobil Dialysis, Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MOBIL DIALYSIS, INC

Doing business as

DialiCare

Practice address

1230 Central Park Dr
Sanford, FL 32771-6606

Phone

(407) 324-4023

Fax

(407) 328-6925

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Mary Frances Douglas

Title

Owner

Phone

(407) 324-4023

Specialties & licenses 6

Addresses

Other names 1

• DialiCare Doing business as

Locations

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1023790979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CENTRAL PARK DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716606",
            "telephone_number": "407-324-4023",
            "fax_number": "407-328-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CENTRAL PARK DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716606",
            "telephone_number": "407-324-4023",
            "fax_number": "407-328-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBIL DIALYSIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-324-4023"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472R0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DialiCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Millich, PTA
• Coralis Dara Millien, OD
• Reginald Bernard Mims Sr.
• Adianis Miranda
• Lacresa Roxanna Mitchell, MS
• Sweta Modha
• Sangita Mohan, M.D.
• Ali Mohtashim, M.D.
• Fatemazahra Moledina
• Mona Patel OD PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sanford, FL
• Providers in Sanford, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.