Mobile Medical Operating Company LLC
NPI 1245983022ActiveOrganization· General Practice· Port St Lucie, FL
General Practice in Port St Lucie, Florida, registered in NPPES in February 2022. The authorized official on file is Robert Young, Secretary & Cao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245983022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2022 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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All 19 general practitioners in Port St Lucie · All general practitioners in Florida