NURSE PRACTITIONER GROUP LLC NPI 1780121277

NPI Information

  • NPI: 1780121277
  • Provider Name: NURSE PRACTITIONER GROUP LLC
  • Classification: Contractor - 171W00000X
  • Entity Type: Organization
  • Other Name: MY MOBILE PRIMARY HEALTH CARE, LLC
  • Address: 12380 NW 9TH ST
    PLANTATION, FL
    ZIP 33325
  • Phone: (256) 508-9034

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NPI Details

NURSE PRACTITIONER GROUP LLC is a contractor in Plantation, FL. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. NURSE PRACTITIONER GROUP LLC NPI is 1780121277. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is My Mobile Primary Health Care, Llc.

The provider's business location address is:

12380 NW 9TH ST
PLANTATION, FL
ZIP 33325-305
Phone: (256) 508-9034

The provider's authorized official is Stacey Santiago .
The authorized official title is Owner and has the following contact phone number (256) 508-9034.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 7/21/2020.

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
1171W00000XContractorARNP9224482FLORIDAYes
2363LX0106XNurse PractitionerOccupational HealthR185090MARYLANDNo

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

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