MEDICARE: MOBILITY SOLUTIONS 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	1009	FL
2	332BC3200X	Customized Equipment (DME)	1009	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

General Provider Information

NPI Number	:	1831243500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILITY SOLUTIONS INC.

Provider Business Mailing Address
First Line	:	7135 STATE ROAD 54
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6104
Country	:	US
Telephone Number	:	727-375-2102
Fax Number	:	727-375-2113

Provider Business Practice Location Address
First Line	:	7135 STATE ROAD 54
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6104
Country	:	US
Telephone Number	:	727-375-2102
Fax Number	:	727-375-2113

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	MR. JEFFREY MATUKEWICZ
Credential	:
Telephone Number	:	423-756-2268

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	02/28/2022

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Directions to “MOBILITY SOLUTIONS INC. ” Practice Location

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