MEDICARE: MRS MOBILITY MEDICAL 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	1638	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2240173	OTHER	FL	UNITED HEALTHCARE
3	R9389	OTHER	FL	FLORIDA BC/BS

General Provider Information

NPI Number	:	1548264278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRS MOBILITY MEDICAL INC

Provider Business Mailing Address
First Line	:	6318 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2232
Country	:	US
Telephone Number	:	727-847-0850
Fax Number	:	727-847-1512

Provider Business Practice Location Address
First Line	:	6318 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2232
Country	:	US
Telephone Number	:	727-847-0850
Fax Number	:	727-847-1512

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. TIMOTHY PAPPERT
Credential	:
Telephone Number	:	727-847-0850

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/23/2008

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Directions to “MRS MOBILITY MEDICAL INC ” Practice Location

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