Healthcare Provider Details
I. General information
NPI: 1053545293
Provider Name (Legal Business Name): MOTION MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2009
Last Update Date: 05/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
226 WILSHIRE BLVD
CASSELBERRY FL
32707-5371
US
IV. Provider business mailing address
500 N KIMBALL AVE 106
SOUTHLAKE TX
76092-6682
US
V. Phone/Fax
- Phone: 407-834-7950
- Fax: 407-834-7952
- Phone: 817-305-7060
- Fax: 817-652-9394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ISRAEL
NAVARRO
Title or Position: CEO
Credential:
Phone: 817-305-7060