Organization Active NPI

Mobilebio

  • Phlebology Physician
  • Jacksonville, FL
National Provider Identifier
1548049018
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
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

Updated by the provider on Sep 25, 2023

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)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.