MEDICARE: MOBILEMEDIX PLUS LLC

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
1	146E00000X	Community Paramedic

General Provider Information

NPI Number	:	1730031709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILEMEDIX PLUS LLC

Provider Business Mailing Address
First Line	:	7146 SHADY WOOD LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2723
Country	:	US
Telephone Number	:	800-882-6769
Fax Number	:	800-882-6769

Provider Business Practice Location Address
First Line	:	7146 SHADY WOOD LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2723
Country	:	US
Telephone Number	:	800-882-6769
Fax Number	:	800-882-6769

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. KENNETH RICHARD PEACH
Credential	:
Telephone Number	:	800-882-6769

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “MOBILEMEDIX PLUS LLC ” Practice Location

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