Organization Active NPI

Mobile Medical Care

  • Primary Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1962927723
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9305606 Issued in FL
Legal business name
MOBILE MEDICAL CARE
Practice address
11671 Declaration Drive
Tampa, FL 33635
Phone
(813) 833-3011
Fax
(813) 701-9056
NPI assigned
Aug 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lindsey Cronk, ARNP
Title
Owner
Phone
(813) 833-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 9305606 FL Primary

Addresses

Primary practice location

11671 Declaration Drive
Tampa, FL 33635

Mailing address

11671 Declaration Dr
Tampa, FL 33635-6338
Phone (813) 833-3011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962927723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 DECLARATION DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356338",
            "telephone_number": "813-833-3011",
            "fax_number": "813-701-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 DECLARATION DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33635",
            "telephone_number": "813-833-3011",
            "fax_number": "813-701-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CRONK",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-833-3011",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9305606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.