Mobile Med Drip LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

MOBILE MED DRIP LLC

Practice address

312 E 120TH Ave
Tampa, FL 33612-5206

Phone

(813) 476-0248

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Olnely Polanco Martinez, RN

Title

RN Manager

Phone

(813) 476-0248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1417842618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 120TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125206",
            "telephone_number": "813-476-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 120TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125206",
            "telephone_number": "813-476-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MED DRIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "POLANCO MARTINEZ",
        "authorized_official_first_name": "OLNELY",
        "authorized_official_title_or_position": "RN MANAGER",
        "authorized_official_telephone_number": "813-476-0248",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Infusion Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.