MOBILE PHYSICIAN SERVICES INC.
NPI 1003002759
Internal Medicine in New Port Richey, FL

Q: What is Mobile Physician Services Inc.'s NPI number?

The NPI number for Mobile Physician Services Inc. is 1003002759. It was assigned to this organization in the NPPES registry on September 17, 2007.

Q: What is Mobile Physician Services Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 17, 2007CLIA 10D2000296 · Waiver

6804 CECELIA DR, NEW PORT RICHEY, FL 34653(727) 232-0644(888) 546-0488 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Mar 23, 2026, Feb 18, 2021 and 3 more (6 updates tracked since 2016).

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About Mobile Physician Services Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE PHYSICIAN SERVICES INC. (NPI 1003002759) is a healthcare organization registered as an internal medicine in New Port Richey, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 24, 2027, maintains a secondary practice location in Beavercreek Township, and lists Peter Radice, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003002759

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMOBILE PHYSICIAN SERVICES INC.

Location Address6804 CECELIA DRNew Port Richey, FL 34653-4935

Mailing Address6804 Cecelia DrNew Port Richey, FL 34653-4935 · (855) 232-0644 · Fax (888) 546-0488

Phone(727) 232-0644

Fax(888) 546-0488

Organization SubpartNo

Authorized OfficialPeter RadiceMedical Director · (855) 232-0644

Enumeration DateSeptember 17, 2007

Last NPPES UpdateMay 28, 20266 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1003002759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME0086161

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedOptometristTaxonomy 152W00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

6804 CECELIA DR, New Port Richey, FL 34653

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Secondary Practice Location 1

Location 14031 Colonel Glenn Hwy Ste 133Beavercreek Township, OH 45431-2774 · Phone (855) 232-0644 · Fax (888) 546-0488

Other Identifiers 7

Medicaid128679200FL

OtherK9757FL · Ptan

Medicaid0404354OH

OtherK9757AFL · Fl Ptan

Other000MQFL · Bcbs Group

Medicaid131106800FL

OtherMEDICARE NPIFL · 1003002759

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2000296

Mobile Physician Services Inc · New Port Richey, FL

Active · expires Nov 24, 2027

CLIA Number10D2000296

Laboratory TypeMobile Physician Practice

Certificate Effective DateNovember 25, 2025

Certificate Expiration DateNovember 24, 2027

Laboratory DirectorRichard M. Wacksman

Laboratory Phone(727) 232-0644

Laboratory LocationMobile Physician Services Inc6804 Cecelia Dr, New Port Richey, FL 34653

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BILLY SHANNON CLAY FNP-BC

Nurse Practitioner (Primary Care)