Provider Demographics
NPI:1093113086
Name:FLORIDA MOBILE PHYSICIANS LLC
Entity Type:Organization
Organization Name:FLORIDA MOBILE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LALANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-907-1190
Mailing Address - Street 1:7313 INTERNATIONAL PL
Mailing Address - Street 2:SUITE 80
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8406
Mailing Address - Country:US
Mailing Address - Phone:941-907-1190
Mailing Address - Fax:941-907-0315
Practice Address - Street 1:7313 INTERNATIONAL PL
Practice Address - Street 2:SUITE 80
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8406
Practice Address - Country:US
Practice Address - Phone:841-907-1190
Practice Address - Fax:941-907-0315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty