Mobile Medical Advantage Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC6675 Issued in FL

Legal business name

MOBILE MEDICAL ADVANTAGE INC

Practice address

1 Purliece Place
Suite 131
Winter Park, FL 32792

Phone

(407) 740-7554

Fax

(407) 740-7751

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marlene T Rodriguez

Title

Pres Ceo

Phone

(407) 740-7554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Richard W Anderson Jr., MD

  • General Practice Physician
  • Winter Park, FL
  • NPI 1548335201
  NPD (past)
• Hector Collazo-Ramis, MD

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1548282759
  NPD (past)
• Rita Laracuente, MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1871538462
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891708020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PURLIECE PLACE",
            "address_2": "SUITE 131",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-740-7554",
            "fax_number": "407-740-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PURLIECE PLACE",
            "address_2": "SUITE 131",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-740-7554",
            "fax_number": "407-740-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL ADVANTAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "407-740-7554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC6675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alonzo Mitchell Jr.
• Susan Mitchell, PHD, RDN, LDN, FAND
• Carol Mittelstadt
• Kaamilah Mixon
• Frank Moavero
• Mobile Wounddr PLLC
• Catherine Mobley, LMHC
• Aqeela Mohamed, MOT
• Mohammad a Latif PA
• Mohammad a. Latif M.D.

• General Practice Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.