Florida Mobile Physicians,LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

ARNP2858852 Issued in FL

Legal business name

FLORIDA MOBILE PHYSICIANS,LLC

Practice address

7313 International PL Ste 80
Lakewood Ranch, FL 34240-8406

Phone

(941) 907-1190

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Lalanya Robertson

Title

Clinical Director

Phone

(941) 907-1190

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1124476585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 INTERNATIONAL PL STE 80",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408406",
            "telephone_number": "941-907-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 INTERNATIONAL PL STE 80",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408406",
            "telephone_number": "941-907-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MOBILE PHYSICIANS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LALANYA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "941-907-1190"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ARNP 2858852",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "ARNP2858852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093113086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/MEDICARE NUMBER",
            "identifier": "IB626A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Digestive Health Specialists, LLP
• Florida Health Doctors P.a
• Florida Medical Specialists LLC
• Florida Medical Specialists LLC
• Florida Mobile Physicians LLC
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Justin George Fontanini, DOM, AP
• Rylee Foraker
• Colleen Elizabeth Ford, D.C.

• All providers in Lakewood Ranch, FL
• Assisted Living Facility (Behavioral Disturbances) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.