| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 8426400037 |
|---|---|
| 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 Florence Bonaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508558263 PECOS PAC ID: 9335591940 Enrollment ID: I20240119000893 |
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