Healthcare Provider Details

I. General information

NPI: 1174580112
Provider Name (Legal Business Name): SOUTH FLORIDA MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 SW 13TH CT
POMPANO BEACH FL
33069-4709
US

IV. Provider business mailing address

1404 SW 13TH CT
POMPANO BEACH FL
33069-4709
US

V. Phone/Fax

Practice location:
  • Phone: 954-946-5793
  • Fax: 954-946-5716
Mailing address:
  • Phone: 954-946-5793
  • Fax: 954-946-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number943
License Number StateFL

VIII. Authorized Official

Name: MR. CAREY J BRITTON
Title or Position: PRESIDENT
Credential: ATS, CRTS
Phone: 954-946-5793