FL Mobile Medical PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FL MOBILE MEDICAL PA

Practice address

4033 Tampa Rd Ste 100
Oldsmar, FL 34677-3224

Phone

(203) 869-5515

Fax

(203) 869-5765

NPI assigned

Jul 1, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Gandelman, MDNPI 1033117437

Title

Owner

Phone

(917) 477-9028

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Gandelman, MD

  • Cardiovascular Disease Physician
  • Greenwich, CT
  • NPI 1033117437

  FL, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Jancy Roensa Victoria, APN-C

  • Primary Care Nurse Practitioner
  • Lakewood, NJ
  • NPI 1568988665

  FL

  Medicare reassignment Care Compare group NPD
• Anna Robinzon, PA-C

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1891435251

  FL

  Medicare reassignment Care Compare group
• Aswathy Somarajan, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1366024952
  NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1629814512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HOLLY HILL LN FL 3",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302945",
            "telephone_number": "203-869-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TAMPA RD STE 100",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773224",
            "telephone_number": "203-869-5515",
            "fax_number": "203-869-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL MOBILE MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "GANDELMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-477-9028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evercare Hospice, Inc. (Evercare Hospice and Palliative Care)
• Family Medical Center of Port Richey
• Peter Fanous
• Blanca Monica Fernandez, NP-C
• Fernando a. Galeano D.D.S., P.a.
• Donna Flannery
• Florida Rehability at Home, LLC
• Florida Rehability Occupational Therapists LLC
• Florida Rehability Physical Therapists LLC
• Florida Rehability, Inc (Florida Rehability Speech Therapists)

• Specialist in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.