MOHIB MEDICAL LLC
NPI 1871020842
Clinic/Center in Davenport, FL

Active since May 22, 2017
410 LIONEL WAY STE 200, DAVENPORT, FL 33837(863) 353-2602 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mohib Medical Llc NPPES

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

MOHIB MEDICAL LLC (NPI 1871020842) is a healthcare organization registered as a clinic/center in Davenport, Florida and active in the NPI registry since May 2017. The organization lists Mark Nicole, Manager, as its authorized official.

NPPES Registry Identity

NPI1871020842
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMOHIB MEDICAL LLC
Location Address410 LIONEL WAY STE 200Davenport, FL 33837-7809
Mailing Address410 Lionel Way Ste 200Davenport, FL 33837-7809
Organization SubpartNo
Authorized OfficialMark NicoleManager · (321) 223-4470
Enumeration DateMay 22, 2017
NPI 1871020842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

410 LIONEL WAY STE 200, Davenport, FL 33837

Other Identifiers 2

OtherME105262Medical License
Medicaid266607300FL

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 Mohib Medical LLC's NPI number?

The NPI number for Mohib Medical LLC is 1871020842. It was assigned to this organization in the NPPES registry on May 22, 2017.

Where is Mohib Medical LLC located?

Mohib Medical LLC is located at 410 Lionel Way Ste 200, Davenport, FL 33837. The listed phone number is (863) 353-2602.

What is Mohib Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mohib Medical LLC was last updated on May 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.