Active NPI
Mobilebio
- Phlebology Physician
- Jacksonville, FL
National Provider Identifier
1548049018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- MOBILEBIO
- Practice address
- 3501 Townsend Blvd BLDG Apt 240
Jacksonville, FL 32277-9303 - Phone
- (251) 513-4228
- NPI assigned
- Sep 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lishayia Branson
- Title
- Owner
- Phone
- (251) 513-4228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary |
Addresses
Primary practice location
3501 Townsend Blvd BLDG Apt 240
Jacksonville, FL 32277-9303
Mailing address
PO Box 43276
Jacksonville, FL 32203-3276
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1548049018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43276",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322033276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TOWNSEND BLVD BLDG APT 240",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322779303",
"telephone_number": "251-513-4228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILEBIO",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "BRANSON",
"authorized_official_first_name": "LISHAYIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-513-4228"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.