Provider Demographics
NPI:1174379473
Name:MOBILE PEDIATRIC QUICK CARE LLC
Entity type:Organization
Organization Name:MOBILE PEDIATRIC QUICK CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:731-415-9837
Mailing Address - Street 1:5528 SILVER SUN DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2085
Mailing Address - Country:US
Mailing Address - Phone:813-518-5554
Mailing Address - Fax:
Practice Address - Street 1:200 FRANDORSON CIR STE 200
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2691
Practice Address - Country:US
Practice Address - Phone:813-518-5554
Practice Address - Fax:844-850-2674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty