Healthcare Provider Details

I. General information

NPI: 1548264278
Provider Name (Legal Business Name): MRS MOBILITY MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6318 US HIGHWAY 19
NEW PORT RICHEY FL
34652-2232
US

IV. Provider business mailing address

6318 US HIGHWAY 19
NEW PORT RICHEY FL
34652-2232
US

V. Phone/Fax

Practice location:
  • Phone: 727-847-0850
  • Fax: 727-847-1512
Mailing address:
  • Phone: 727-847-0850
  • Fax: 727-847-1512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1638
License Number StateFL

VIII. Authorized Official

Name: MR. TIMOTHY PAPPERT
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 727-847-0850