National Provider Identifier Database

ADVANCE MOBILE PRACTICE LLC
Family


Contact Information

ADVANCE MOBILE PRACTICE LLC
220 CATALINA ISLE DR
MERRITT ISLAND, FL32953-3246
Phone: 321-537-8997
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCE MOBILE PRACTICE LLC

NPI Number 1366313041
Legal business name
LBN
ADVANCE MOBILE PRACTICE LLC
Authorized official TIFFANY GASKINS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/15/2025
Last updated 09/15/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ADVANCE MOBILE PRACTICE LLC

There are currently no reviews for ADVANCE MOBILE PRACTICE LLC


NPIdb - Home
v2.201