Healthcare Provider Details

I. General information

NPI: 1710399266
Provider Name (Legal Business Name): PORT CITY MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8053 AIRWAY PARK DR
MOBILE AL
36608-9602
US

IV. Provider business mailing address

8053 AIRWAY PARK DR
MOBILE AL
36608-9602
US

V. Phone/Fax

Practice location:
  • Phone: 251-443-7667
  • Fax: 251-650-4498
Mailing address:
  • Phone: 251-443-7667
  • Fax: 251-650-4498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1349
License Number StateAL

VIII. Authorized Official

Name: NAZMI OZOKUR
Title or Position: PARTNER
Credential:
Phone: 251-443-7667