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NPI Code Detail

MEDICARE: MOBILE PHYSICIAN SERVICES INC.

MEDICARE: MOBILE PHYSICIAN SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2363LA2200XAdult Health Nurse Practitioner
3213ES0103XFoot & Ankle Surgery Podiatrist
4363LP0808XPsychiatric/Mental Health Nurse Practitioner
5207R00000XInternal Medicine PhysicianME0086161FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000MQOTHERFLBCBS GROUP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3K9757OTHERFLPTAN
4MEDICARE NPIOTHERFL1003002759
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6K9757AOTHERFLFL PTAN

General Provider Information

NPI Number : 1003002759
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE PHYSICIAN SERVICES INC.
Provider Business Mailing Address
First Line : 6804 CECELIA DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4935
Country : US
Telephone Number : 855-232-0644
Fax Number : 888-546-0488
Provider Business Practice Location Address
First Line : 6804 CECELIA DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4935
Country : US
Telephone Number : 727-232-0644
Fax Number : 888-546-0488
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. PETER RADICE
Credential :
Telephone Number : 855-232-0644
Provider Enumeration Date : 09/17/2007
Last Update Date : 03/23/2026

Similar Medicare Providers

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Practice Location Address:
6804 CECELIA DR
NEW PORT RICHEY, FL
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Practice Phone: 855-232-0644
Practice Fax: 888-546-0488
1144211061 — MR. ROBERT KLEID PA-C
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1306820394 — PAMELA LYNN JUNE PHD
Practice Location Address:
6804 CECELIA DR , SUITE 201
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Practice Phone: 727-232-0644
Practice Fax: 888-546-0488
1043284680 — DOUGLAS P. NAGLE P.A.
Practice Location Address:
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NEW PORT RICHEY, FL
34653-4935
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Practice Fax: 888-546-0488
1538133327 — DARLA J BRODERICK-BREIT DO
Practice Location Address:
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Practice Fax: 888-546-0488
1083683353 — DR. JAMES K. CONDON M.D.
Practice Location Address:
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NEW PORT RICHEY, FL
34653-4935
Practice Phone: 727-232-0644
Practice Fax: 888-546-0488
1538124383 — DR. WILLIAM THEODORE TRABULSI DPM
Practice Location Address:
6804 CECELIA DR
NEW PORT RICHEY, FL
34653-4935
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Practice Fax: 888-846-0488

Directions to “MOBILE PHYSICIAN SERVICES INC. ” Practice Location

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