Mobile Medical
LBN: My Choice Operating Company Llc
Mobile Medical is an health care organization with primary practice located at 4655 Salisbury Rd Ste 220 , Jacksonville FL 32256-0959. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
My Choice Operating Company Llc can be contacted via phone (904) 570-9404, or through Young, Robert G via phone (904) 733-1003.
Contact Information
Primary practice address
4655 Salisbury Rd Ste 220
Jacksonville FL 32256-0959
Phone: (904) 570-9404
Fax: (904) 900-2224
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
NPI number | 1174112007 |
---|---|
LBN Legal business name | My Choice Operating Company Llc |
DBA Doing business as | Mobile Medical |
Authorized official | Young, Robert G |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 14th, 2021 |
Last updated | Dec 27th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174112007 | NPPES |
Florida | Other | 10D2178878 | CLIA |
Florida | Other | 12550 | CLIA |
Florida | MEDICAID | 110526700 | CLIA |
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