Healthcare Provider Details

I. General information

NPI: 1184859795
Provider Name (Legal Business Name): ADVANCED MOBILITY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 SW 34TH ST UNIT 6
FORT LAUDERDALE FL
33312-5011
US

IV. Provider business mailing address

1539 WINTERBERRY LN
WESTON FL
33327-2336
US

V. Phone/Fax

Practice location:
  • Phone: 954-888-9292
  • Fax: 954-384-3045
Mailing address:
  • Phone: 954-888-9292
  • Fax: 954-384-3045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT REED HANCOCK
Title or Position: OWNER
Credential:
Phone: 954-888-9292