Organization Active NPI

MD Go Mobile Health, Inc.

  • Non-emergency Medical Transport (VAN)
  • Fort Lauderdale, FL
National Provider Identifier
1184232969
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MD GO MOBILE HEALTH, INC.
Practice address
2630 W Broward Blvd # 203-515
Fort Lauderdale, FL 33312-1314
Phone
(305) 924-6333
NPI assigned
Jul 17, 2020
Last updated
Jul 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Fallon L GreenNPI 1558833376
Title
Ceo
Phone
(305) 924-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

2630 W Broward Blvd # 203-515
Fort Lauderdale, FL 33312-1314

Mailing address

2630 W Broward Blvd # 203-515
Fort Lauderdale, FL 33312-1314
Phone (305) 924-6333

National Provider Directory

National Provider Directory

Locations

2630 W Broward Blvd
#203515
Fort Lauderdale, FL 33312
Phone (305) 924-6333

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1184232969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD # 203-515",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "305-924-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD # 203-515",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "305-924-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD GO MOBILE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-924-6333"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.