Organization Active NPI

Mobile Care on Demand LLC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1932974367
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MOBILE CARE ON DEMAND LLC
Practice address
3575 Webber St Ste 106
Sarasota, FL 34239-4930
Phone
(561) 714-9747
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Tamirah Bonaby, NP
Title
Ceo
Phone
(561) 714-9747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3575 Webber St Ste 106
Sarasota, FL 34239-4930

Mailing address

3575 Webber St Ste 106
Sarasota, FL 34239-4930

National Provider Directory

National Provider Directory

Locations

3575 Webber St
Ste 106
Sarasota, FL 34239
Phone (561) 714-9747

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1932974367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 WEBBER ST STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 WEBBER ST STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394930",
            "telephone_number": "561-714-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE ON DEMAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BONABY",
        "authorized_official_first_name": "TAMIRAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-714-9747",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.