Mobile Medical Healthcare, Professional Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOBILE MEDICAL HEALTHCARE, PROFESSIONAL ASSOCIATION

Practice address

106 Commerce St Ste 101
Lake Mary, FL 32746-6217

Phone

(844) 553-6246

NPI assigned

Feb 24, 2023

Last updated

Feb 24, 2023By 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

Mr. Brian Buckley

Title

Revenue Cycle Director

Phone

(844) 553-6246

Specialties & licenses 2

Addresses

Other names 1

• MD1 Medical Care, Professional Association Former legal business name

Locations

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1730888199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 35TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COMMERCE ST STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466217",
            "telephone_number": "844-553-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL HEALTHCARE, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "844-553-6246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD1 Medical Care, Professional Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Asif Mirza
• Courtney Mitchell
• Seirra Mitchell
• Samy Mitil
• Sophonie Mitil, APRN
• Markia L Mobley, PHARMD
• Staci Moellman
• Omar Wahid Mohamed Elfeky, MD
• David Ishmael Mohammed
• Yasmin Mohiuddin, DO

• Internal Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.