Healthcare Provider Details

I. General information

NPI: 1962367532
Provider Name (Legal Business Name): MOBILE CARDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WATERFORD DR
VERO BEACH FL
32966
US

IV. Provider business mailing address

2609 S FEDERAL HWY # 1036
FORT PIERCE FL
34982-5923
US

V. Phone/Fax

Practice location:
  • Phone: 772-979-2222
  • Fax: 772-979-2222
Mailing address:
  • Phone: 772-979-2222
  • 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: SHAMS ELHUNI
Title or Position: OWNER
Credential: APRN
Phone: 772-979-2222