MOHIB MEDICAL LLC (NPI# 1871020842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871020842 |
| Entity Type | Organization |
| Organization Name | MOHIB MEDICAL LLC |
| Practice Address |
410 Lionel Way Ste 200 Davenport FL 33837-7809 |
| Practice Telephone | 8633532602 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | MR. MARK NICOLE (MANAGER) |
| Authorized Official Telephone | 3212234470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266607300 | 05 | |
| MEDICAL LICENSE | ME105262 | 01 |
| Street Address |
410 LIONEL WAY STE 200 |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33837-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
| 1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
| 1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
| 1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
| 1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
| 1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
| 1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
| Find all providers in zip 33837 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1003473349 | Lake Mary Spine & Rehabilitation Center | Clinic/Center | 45677 Highway 27, Davenport, FL 33897-4546 | 2019-05-22 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1801110945 | Stark Chiropractic, Ltd. | Clinic/Center | 1019 Mound St, Suite 304, Davenport, IA 52803-3964 | 2010-03-18 |
| 1316404957 | Heartland Endocrine Group Plc | Clinic/Center | 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 | 2019-03-01 |
| 1326495771 | Carter Family Chiropractic LLC | Clinic/Center | 235 W 35th St, Suite 2d, Davenport, IA 52806-6141 | 2016-05-16 |
| 1033349253 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 5260 Northwest Blvd, Suite 2, Davenport, IA 52806-2463 | 2009-07-22 |
| 1912192345 | Ramic Davenport, LLC | Clinic/Center | 3006 E 53rd St, Davenport, IA 52807-3012 | 2007-09-10 |
| 1205860400 | Genesis Health System | Clinic/Center | 1520 W 53rd St, Davenport, IA 52806-2459 | 2006-07-11 |
| 1346295466 | Four Corners Internal Medicine, LLC | Clinic/Center | 106 Polo Park East Blvd, Davenport, FL 33897-9407 | 2006-05-24 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.