1. Home
  2. Directory
  3. Florida
  4. Oldsmar
  5. Specialist
  6. NPI Profile

FL MOBILE MEDICAL PA
NPI 1629814512
Specialist in Oldsmar, FL

Active since July 01, 2024
4033 TAMPA RD STE 100, OLDSMAR, FL 34677(203) 869-5515(203) 869-5765 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Jul 5, 2024 (2 updates tracked since 2024).

About Fl Mobile Medical Pa NPPES

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

FL MOBILE MEDICAL PA (NPI 1629814512) is a healthcare organization registered as a specialist in Oldsmar, Florida and active in the NPI registry since July 2024. The organization lists Glenn Gandelman, Owner, as its authorized official.

NPPES Registry Identity

NPI1629814512
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFL MOBILE MEDICAL PA
Location Address4033 TAMPA RD STE 100Oldsmar, FL 34677-3224
Mailing Address81 Holly Hill Ln Fl 3Greenwich, CT 06830-2945 · (203) 869-5515
Phone(203) 869-5515
Fax(203) 869-5765
Organization SubpartNo
Authorized OfficialGlenn GandelmanOwner · (917) 477-9028
Enumeration DateJuly 1, 2024
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1629814512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
4033 TAMPA RD STE 100, Oldsmar, FL 34677
Open in Google Maps ↗

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fl Mobile Medical PA's NPI number?

The NPI number for Fl Mobile Medical PA is 1629814512. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Fl Mobile Medical PA located?

Fl Mobile Medical PA is located at 4033 Tampa Rd Ste 100, Oldsmar, FL 34677. The listed phone number is (203) 869-5515.

What is Fl Mobile Medical PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fl Mobile Medical PA was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.