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MOBILE PHYSICIAN SERVICES INC. NPI 1003002759


NPI Profile

NPI: 1003002759
Provider Name: MOBILE PHYSICIAN SERVICES INC.
Classification:Internal Medicine - 207RH0002X
Entity Type: Organization

Specialization: Hospice and Palliative Medicine

CLIA Number: 10D2000296

Address:
6804 CECELIA DR
NEW PORT RICHEY, FL
ZIP 34653
Get Directions

Phone: (727) 232-0644

MOBILE PHYSICIAN SERVICES INC. is a hospice and palliative medicine internal medicine in New Port Richey, FL. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. MOBILE PHYSICIAN SERVICES INC. NPI is 1003002759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6804 CECELIA DR
NEW PORT RICHEY, FL
ZIP 34653-935
Phone: (727) 232-0644
Fax: (888) 546-0488

The provider's authorized official is Richard M Wacksman .
The authorized official title is Medical Director and has the following contact phone number (855) 232-0644.

The CLIA number assigned to this NPI record is 10D2000296 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 2/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNo
2152W00000XOptometristNo
3207R00000XInternal MedicineME0086161FLORIDANo
42084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
5213ES0103XPodiatristFoot & Ankle SurgeryNo
6207RH0002XInternal MedicineHospice and Palliative MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MEDICARE NPIOTHERFLORIDA1003002759
2000MQOTHERFLORIDABCBS GROUP
3007870000MEDICAIDFLORIDA
4K9757AOTHERFLORIDAFL PTAN
50404354MEDICAIDOHIO
6K9757OTHERFLORIDAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.