MEDICARE: WHEELCHAIR SPECIALTIES, 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	347C00000X	Private Vehicle

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	:	1861728610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEELCHAIR SPECIALTIES, INC

Provider Business Mailing Address
First Line	:	4010 E HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-3848
Country	:	US
Telephone Number	:	813-246-9116
Fax Number	:	813-246-4635

Provider Business Practice Location Address
First Line	:	4010 E HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-3848
Country	:	US
Telephone Number	:	813-246-9116
Fax Number	:	813-246-4635

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS ALISON WEBER
Credential	:	ATP
Telephone Number	:	813-246-9116

Provider Enumeration Date	:	10/29/2009
Last Update Date	:	10/29/2009

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