MOBILE MEDICAL
NPI 1245983022
General Practice in Port St Lucie, FL

NPI Status: Active since February 01, 2022

Contact Information

1840 SE PORT ST LUCIE BLVD STE 1840
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 221-7620
Fax: (772) 221-9903

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  • Organization
  • General Practice

About MOBILE MEDICAL

This page provides the complete NPI Profile along with additional information for Mobile Medical, a primary care provider established in Port St Lucie, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1245983022 assigned on February 2022. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Mobile Medical operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mobile Medical. The authorized official of this NPI record is Mr. Robert Young (Secretary & Cao)

NPI
1245983022
Provider Legal Name
MOBILE MEDICAL OPERATING COMPANY LLC
Other Organization Name
MOBILE MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1840 SE PORT ST LUCIE BLVD STE 1840 PORT ST LUCIE, FL 34952
Location Phone
(772) 221-7620
Location Fax
(772) 221-9903
Mailing Address
4655 SALISBURY RD STE 110 JACKSONVILLE, FL 32256
Mailing Phone
(904) 733-1003
Mailing Fax
(772) 221-9903
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2022
Last Update Date
09-25-2024
Code Navigator

A primary care provider (PCP) like Mobile Medical sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT YOUNG

Authorized Official Title
SECRETARY & CAO
Authorized Official Phone
(904) 733-1003

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
117201700MEDICAID (05)FL 
13404OTHER (01)FLAHCA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245983022
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285188604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 8 + 6 + 0 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245983022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184222549CONCIERGE HOME CARE OF PORT ST LUCIE LLC
Organization
Home Health1840 SE PORT ST LUCIE BLVD STE 1840
PORT ST LUCIE, FL 34952
(772) 777-2749

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245983022, enumerated in the NPI registry as an "organization" on February 01, 2022

The provider is located at 1840 Se Port St Lucie Blvd Ste 1840 Port St Lucie, Fl 34952 and the phone number is (772) 221-7620

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 01, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.