MEDICARE: MOLIFT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	123884.0000	FL

General Provider Information

NPI Number	:	1023264942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOLIFT INC

Provider Business Mailing Address
First Line	:	5008 W LINEBAUGH AVE
Second Line	:	SUITE 60
City	:	TAMPA
State	:	FL
Zip	:	33624-5095
Country	:	US
Telephone Number	:	813-969-2213
Fax Number	:	813-969-3254

Provider Business Practice Location Address
First Line	:	5008 W LINEBAUGH AVE
Second Line	:	SUITE 60
City	:	TAMPA
State	:	FL
Zip	:	33624-5095
Country	:	US
Telephone Number	:	813-969-2213
Fax Number	:	813-969-3254

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. REINHART WIEGAND
Credential	:
Telephone Number	:	813-969-2213

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	08/12/2008

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Directions to “MOLIFT INC ” Practice Location

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