Provider Demographics
NPI:1689366205
Name:FLORIDA U.S. MOBILE CARE GROUP, LLC
Entity Type:Organization
Organization Name:FLORIDA U.S. MOBILE CARE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JONA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:TAJONERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-298-4100
Mailing Address - Street 1:1221 BRICKELL AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3800
Mailing Address - Country:US
Mailing Address - Phone:347-298-4100
Mailing Address - Fax:347-227-1368
Practice Address - Street 1:6488 NW 99TH AVENUE
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076
Practice Address - Country:US
Practice Address - Phone:347-298-4100
Practice Address - Fax:347-227-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251K00000XAgenciesPublic Health or Welfare