Healthcare Provider Details
I. General information
NPI: 1881035210
Provider Name (Legal Business Name): MOBILECARE EMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2013
Last Update Date: 07/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 ALDO DR
BABSON PARK FL
33827-9677
US
IV. Provider business mailing address
101 ALDO DR
BABSON PARK FL
33827-9677
US
V. Phone/Fax
- Phone: 845-492-6406
- Fax:
- Phone: 845-492-6406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416A0800X |
| Taxonomy | Air Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JASON
A
STROPPEL
Title or Position: PRESIDENT
Credential:
Phone: 845-492-6406