Provider Demographics
NPI:1649969064
Name:MOBILE MEDICAL CARE, INC.
Entity type:Organization
Organization Name:MOBILE MEDICAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWELL GALLO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-C, CDP
Authorized Official - Phone:813-699-0123
Mailing Address - Street 1:14851 STATE ROAD 52
Mailing Address - Street 2:UNIT 107, PMB#110
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-5472
Mailing Address - Country:US
Mailing Address - Phone:813-699-0123
Mailing Address - Fax:
Practice Address - Street 1:19130 ANAHEIM DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34610-5472
Practice Address - Country:US
Practice Address - Phone:813-699-0123
Practice Address - Fax:888-571-1897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty