ADVANCE MOBILE PRACTICE LLC NPI 1366313041

NPI Information

  • NPI: 1366313041
  • Provider Name: ADVANCE MOBILE PRACTICE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 220 CATALINA ISLE DR
    MERRITT ISLAND, FL
    ZIP 32953
  • Phone: (321) 537-8997

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NPI Details

ADVANCE MOBILE PRACTICE LLC is a family nurse practitioner in Merritt Island, FL. ADVANCE MOBILE PRACTICE LLC NPI is 1366313041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

220 CATALINA ISLE DR
MERRITT ISLAND, FL
ZIP 32953-246
Phone: (321) 537-8997

The provider's authorized official is Tiffany Gaskins .
The authorized official title is Owner and has the following contact phone number (321) 537-8997.

The enumeration date for this NPI number is 9/15/2025 and was last updated on 9/15/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

NPI Synchronization or Removal

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