Mobile Village

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MOBILE VILLAGE

Practice address

2118 Holloman Rd
Plant City, FL 33567-3720

Phone

(813) 763-3537

NPI assigned

Dec 28, 2008

Last updated

Dec 28, 2008By 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

Darryl Scot McDonald, MBA

Title

Cfo

Phone

(813) 763-3537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230422400000",
    "number": "1043456833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 STEWART RIDGE WALK",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305182583",
            "telephone_number": "813-763-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 HOLLOMAN RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673720",
            "telephone_number": "813-763-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-763-3537",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mills
• Steven Shelby Minter, PSY.D.
• Janette Miranda
• Aparajita Mishra, M.D.
• Patricia Ann Mitchell
• Brent Mobley
• Almois Ali Mohamad, MD
• Anthony M Molodecki, PA
• Jasper Monah, RN
• Adriana L Moncayo, M.D

• Contractor in Plant City, FL
• Providers in Plant City, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; 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.