Provider Demographics
NPI:1467542555
Name:CLINICAL MOBILITY LLC
Entity Type:Organization
Organization Name:CLINICAL MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRBY
Authorized Official - Middle Name:R
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:321-559-1264
Mailing Address - Street 1:215 CELEBRATION PL
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5400
Mailing Address - Country:US
Mailing Address - Phone:321-559-1264
Mailing Address - Fax:321-206-4562
Practice Address - Street 1:215 CELEBRATION PL
Practice Address - Street 2:SUITE 500
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5400
Practice Address - Country:US
Practice Address - Phone:321-559-1264
Practice Address - Fax:321-206-4562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service