Provider Demographics
NPI:1225216435
Name:FRANKLIN MOBILE MEDICINE INC
Entity Type:Organization
Organization Name:FRANKLIN MOBILE MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:CHORBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-323-0218
Mailing Address - Street 1:139 DEER PATCH LN
Mailing Address - Street 2:
Mailing Address - City:APALACHICOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32320-1126
Mailing Address - Country:US
Mailing Address - Phone:850-323-0218
Mailing Address - Fax:850-653-9817
Practice Address - Street 1:139 DEER PATCH LN
Practice Address - Street 2:
Practice Address - City:APALACHICOLA
Practice Address - State:FL
Practice Address - Zip Code:32320-1126
Practice Address - Country:US
Practice Address - Phone:850-323-0218
Practice Address - Fax:850-653-9817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0060787OtherMEDICAL LICENSE
FL1821166273OtherNPI INDIVIDUAL
FL1821166273OtherNPI INDIVIDUAL
FLBC2929062OtherDEA