Healthcare Provider Details

I. General information

NPI: 1992826697
Provider Name (Legal Business Name): MOBILITY SOLUTIONS USA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 SW SOUTH MACEDO BLVD
PORT SAINT LUCIE FL
34983-1815
US

IV. Provider business mailing address

877 SW SOUTH MACEDO BLVD
PORT SAINT LUCIE FL
34983-1815
US

V. Phone/Fax

Practice location:
  • Phone: 877-816-1709
  • Fax: 866-430-7946
Mailing address:
  • Phone: 877-816-1709
  • Fax: 866-430-7946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1312793
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number1312793
License Number StateFL

VIII. Authorized Official

Name: MR. RYAN RUSKIN
Title or Position: OWNER
Credential:
Phone: 866-798-0357