Mobile Physicians Group Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MOBILE PHYSICIANS GROUP INC

Practice address

1010 E New Haven Ave Ste B
Melbourne, FL 32901

Phone

(321) 259-3733

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Dena L Schwartz

Title

VP Tax

Phone

(972) 201-3819

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1255773701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E NEW HAVEN AVE STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015603",
            "telephone_number": "321-259-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E NEW HAVEN AVE STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-259-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E New Haven Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-259-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP TAX",
        "authorized_official_telephone_number": "972-201-3819"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chakiah Tucker Mitchell
• Sudeshna Mitra, MD
• Priscilla Lynn Mixon
• MK ABA, LLC (Ember ABA)
• MKMD Physiatry Consultants LLC
• Mobile Ultrasound Imaging, LLC
• Mobility Scooter Center Inc (Mobility Medical Equipment)
• Ronda Lee Mobley, APRN- FNP-C
• Catherine Gabrielle Moceri
• Jennifer Christine Modesto, B.S., PA-C

• Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.