Sos Mobile Medical Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOS MOBILE MEDICAL CARE LLC

Practice address

16025 Muirfield Dr
Odessa, FL 33556-2861

Phone

(813) 226-3332

Fax

(813) 793-7644

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Edward Kolanko, NPNPI 1821086745

Title

Owner/Nurse Practitioner

Phone

(813) 226-3332

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua E Kolanko, C-FNP

  • Nurse Practitioner
  • Odessa, FL
  • NPI 1821086745

  FL

  Medicare reassignment Authorized official
• Roderick Neal Bennett, MD

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1629166137

  FL

  Medicare reassignment
• Damon Adahn Ferreira

  • Family Nurse Practitioner
  • Trinity, FL
  • NPI 1700292653

  FL

  Medicare reassignment
• Joel Johnson, FNP-C

  • Family Nurse Practitioner
  • Lithia, FL
  • NPI 1992180582

  FL

  Medicare reassignment

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1770239162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335560022",
            "telephone_number": "813-226-3332",
            "fax_number": "813-793-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16025 MUIRFIELD DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562861",
            "telephone_number": "813-226-3332",
            "fax_number": "813-793-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS MOBILE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "KOLANKO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "813-226-3332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AthenaClinical",
            "affiliation": "N",
            "endpointDescription": "EHR software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "AThena Clinicals",
            "address_1": "16025 Muirfield Dr",
            "city": "Odessa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335562861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Smiley, APRN
• Erin Smith
• Kenneth M Snodgrass, PTA
• Secil Said Soliman, PHARMACIST
• Dennis Robins Solomon, DO
• Devin Willis Sosa, PA-C
• John Frank Spallino, M.D.
• Spectrum Low Vision Florida PLLC
• Spine & Sportsmedicine Specialists
• Spine and Orthopaedic Specialists, PLLC

• All providers in Odessa, FL
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.