Healthcare Provider Details

I. General information

NPI: 1578505376
Provider Name (Legal Business Name): CENTRAL MOBILITY & REHAB EQUIPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11433 US HIGHWAY 441 SUITE 2
TAVARES FL
32778-4632
US

IV. Provider business mailing address

PO BOX 550309
BIRMINGHAM AL
35255-0309
US

V. Phone/Fax

Practice location:
  • Phone: 352-742-7878
  • Fax: 352-742-7877
Mailing address:
  • Phone: 205-566-1674
  • Fax: 205-278-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2351
License Number StateFL

VIII. Authorized Official

Name: MR. LONNIE BLAKE DORCEY
Title or Position: PRESIDENT
Credential:
Phone: 205-566-1674