Healthcare Provider Details

I. General information

NPI: 1114082690
Provider Name (Legal Business Name): AMERICAN MOBILITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 N WASHINGTON BLVD
SARASOTA FL
34234-4842
US

IV. Provider business mailing address

4201 N WASHINGTON BLVD
SARASOTA FL
34234-4842
US

V. Phone/Fax

Practice location:
  • Phone: 941-358-8482
  • Fax: 941-358-9277
Mailing address:
  • Phone: 941-358-8482
  • Fax: 941-358-9277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1910
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. JOHN L VATH JR.
Title or Position: PRESIDENT
Credential:
Phone: 941-358-8482