Healthcare Provider Details

I. General information

NPI: 1154498301
Provider Name (Legal Business Name): AFFORDABLE SCOOTERS AND WHEELCHAIRS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 OLD MOODY BLVD SUITE 7
BUNNELL FL
32110-8655
US

IV. Provider business mailing address

1504 OLD MOODY BLVD SUITE 7
BUNNELL FL
32110-8655
US

V. Phone/Fax

Practice location:
  • Phone: 386-437-1795
  • Fax: 386-437-1785
Mailing address:
  • Phone: 386-437-1795
  • Fax: 386-437-1785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number28-8013708828-9
License Number StateFL

VIII. Authorized Official

Name: MRS. RACHAEL ANN WELLBY
Title or Position: DIRECTOR
Credential:
Phone: 386-437-1795