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SOS MOBILE MEDICAL CARE LLC
NPI 1770239162
Clinic/Center - Primary Care in Odessa, FL

Active since February 24, 2022CLIA 10D2195952 · Accreditation
16025 MUIRFIELD DR, ODESSA, FL 33556(813) 226-3332(813) 793-7644 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sos Mobile Medical Care Llc NPPES

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

SOS MOBILE MEDICAL CARE LLC (NPI 1770239162) is a healthcare organization registered as a primary care in Odessa, Florida and active in the NPI registry since February 2022. The organization holds an CLIA Accreditation certificate valid through July 8, 2028 and lists Joshua Edward Kolanko, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1770239162
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOS MOBILE MEDICAL CARE LLC
Location Address16025 MUIRFIELD DROdessa, FL 33556-2861
Mailing AddressPo Box 22Odessa, FL 33556-0022 · (813) 226-3332 · Fax (813) 793-7644
Phone(813) 226-3332
Fax(813) 793-7644
Organization SubpartNo
Authorized OfficialJoshua Edward KolankoOwner/nurse Practitioner · (813) 226-3332
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1770239162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
16025 MUIRFIELD DR, Odessa, FL 33556
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sos Mobile Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sos Mobile Medical Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Joshua Kolanko, C-FNP
Nurse Practitioner
NPI 1821086745
16025 MUIRFIELD DR
Odessa, FL 33556
(813) 226-3332
✔ PECOSSame address
Damon Ferreira
Nurse Practitioner
NPI 1700292653
9330 STATE ROAD 54
Trinity, FL 34655
(727) 834-4000
✔ PECOS7.3 mi
Joel Johnson, FNP-C
Nurse Practitioner
NPI 1992180582
6228 KINGBIRD MANOR DR
Lithia, FL 33547
(813) 220-9975
✔ PECOS✔ Accepts Medicare32 mi
Roderick Bennett, MD
Emergency Medicine
NPI 1629166137
15010 LONGS LN
Punta Gorda, FL 33982
(813) 819-3669
✔ PECOS✔ Accepts Medicare105 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 10D2195952

Sos Mobile Medical Care LLC · Odessa, FL
Active · expires Jul 8, 2028
CLIA Number10D2195952
Laboratory TypeMobile Primary Care
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorDr. Michelle J. Taylor
Laboratory Phone(813) 226-3332
Laboratory LocationSos Mobile Medical Care LLC16025 Muirfield Dr, Odessa, FL 33556
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Sos Mobile Medical Care LLC's NPI number?

The NPI number for Sos Mobile Medical Care LLC is 1770239162. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Sos Mobile Medical Care LLC located?

Sos Mobile Medical Care LLC is located at 16025 Muirfield Dr, Odessa, FL 33556. The listed phone number is (813) 226-3332.

What is Sos Mobile Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Sos Mobile Medical Care LLC enrolled in Medicare?

Yes. Sos Mobile Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sos Mobile Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Sos Mobile Medical Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Emergency Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sos Mobile Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2195952) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sos Mobile Medical Care LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.