Provider Demographics
NPI:1932708781
Name:FLORIDA MOBILE MED INC.
Entity Type:Organization
Organization Name:FLORIDA MOBILE MED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:813-270-9300
Mailing Address - Street 1:9250 BAY PLAZA BLVD STE 319
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4464
Mailing Address - Country:US
Mailing Address - Phone:813-270-9300
Mailing Address - Fax:
Practice Address - Street 1:9250 BAY PLAZA BLVD STE 319
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4464
Practice Address - Country:US
Practice Address - Phone:813-270-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service