Provider Demographics
NPI:1386452530
Name:FLORIDA MOBILE HEALTH, PLLC
Entity type:Organization
Organization Name:FLORIDA MOBILE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:LI CAUSI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:239-877-3727
Mailing Address - Street 1:7879 GOLDBERGER LN
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:34762-6794
Mailing Address - Country:US
Mailing Address - Phone:239-877-3727
Mailing Address - Fax:
Practice Address - Street 1:215 TOPANGA DR
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-8545
Practice Address - Country:US
Practice Address - Phone:239-877-3727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty