Mobile Medical Services L.L.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MOBILE MEDICAL SERVICES L.L.C.

Practice address

4304 Northcourse LN
Avon Park, FL 33825-8554

Phone

(863) 257-1542

Fax

(888) 386-8489

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Lee Hoover, ARNP

Title

Owner

Phone

(863) 257-1542

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1295045086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 NORTHCOURSE LN",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258554",
            "telephone_number": "863-257-1542",
            "fax_number": "888-386-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 NORTHCOURSE LN",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258554",
            "telephone_number": "863-257-1542",
            "fax_number": "888-386-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-257-1542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPASS",
            "identifier": "660219300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P34905",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311292600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luciana Michel, MD
• Millennium Physician Group, LLC
• Makinnsy Miller
• Deborah P. Milliken, D.M.D.
• Mindbodysol Nutrition LLC
• Mobile Phlebotomy Excellence
• Michelle Sarah Modaff, D.D.S.
• Rasheeda N Moorer, LPC
• Richard Paterson Morse Sr., M.D.
• MP Primary Care Services

• All providers in Avon Park, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.