Healthcare Provider Details

I. General information

NPI: 1659282820
Provider Name (Legal Business Name): EBANKS MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 SE FLEMING WAY
STUART FL
34997-1558
US

IV. Provider business mailing address

1076 SE FLEMING WAY
STUART FL
34997-1558
US

V. Phone/Fax

Practice location:
  • Phone: 561-543-4229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC EBANKS JR.
Title or Position: OWNER
Credential:
Phone: 561-543-4229