Healthcare Provider Details

I. General information

NPI: 1376228312
Provider Name (Legal Business Name): LIBERTY MOBILE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15366 EASTWOOD TRL
SPRING HILL FL
34604-8184
US

IV. Provider business mailing address

15366 EASTWOOD TRL
SPRING HILL FL
34604-8184
US

V. Phone/Fax

Practice location:
  • Phone: 727-366-2144
  • Fax: 352-353-1168
Mailing address:
  • Phone: 727-366-2144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TINA MAREE LOSAPIO
Title or Position: APRN
Credential: APRN
Phone: 727-366-2144