Mobile Care On Demand Llc | |
3575 Webber St Ste 106 Sarasota FL 34239-4930 | |
(561) 714-9747 | |
Not Available |
Full Name | Mobile Care On Demand Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 3575 Webber St Ste 106, Sarasota, Florida |
Authorized Official Name and Position | Tamirah Bonaby (CEO) |
Authorized Official Contact | 5617149747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mobile Care On Demand Llc 3575 Webber St Ste 106 Sarasota FL 34239-4930 Ph: () - | Mobile Care On Demand Llc 3575 Webber St Ste 106 Sarasota FL 34239-4930 Ph: (561) 714-9747 |
NPI Number | 1932974367 |
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Provider Enumeration Date | 11/15/2023 |
Last Update Date | 11/15/2023 |
Medicare PECOS PAC ID | 8426400037 |
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Medicare Enrollment ID | O20240119000836 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932974367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Tamirah Bonaby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508558263 PECOS PAC ID: 9335591940 Enrollment ID: I20240119000893 |
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