Healthcare Provider Details

I. General information

NPI: 1003861485
Provider Name (Legal Business Name): MRS. MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11163 SPRING HILL DR.
SPRING HILL FL
34609-4649
US

IV. Provider business mailing address

11163 SPRING HILL DR.
SPRING HILL FL
34609-4649
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-3006
  • Fax: 352-666-1070
Mailing address:
  • Phone: 352-666-3006
  • Fax: 352-666-1070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1025
License Number StateFL

VIII. Authorized Official

Name: MRS. TAMI L. ZMYJ
Title or Position: PRESIDENT
Credential:
Phone: 352-666-3006