Healthcare Provider Details

I. General information

NPI: 1972412294
Provider Name (Legal Business Name): PRESTIGE MOBILITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34211 SORREL MINT DR
WESLEY CHAPEL FL
33543-7308
US

IV. Provider business mailing address

13780 NW 22ND PL
SUNRISE FL
33323-5335
US

V. Phone/Fax

Practice location:
  • Phone: 954-849-8606
  • Fax:
Mailing address:
  • Phone: 954-849-8606
  • 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: JABARI SMALL
Title or Position: MGR
Credential:
Phone: 954-907-3248