MEDICARE: MD SCOOTERS EXPRESS CORPORATION

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

General Provider Information

NPI Number	:	1891643581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MD SCOOTERS EXPRESS CORPORATION

Provider Business Mailing Address
First Line	:	842 ADDISON DR NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33716-3442
Country	:	US
Telephone Number	:	813-774-4446
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 N MACDILL AVE STE T
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-2208
Country	:	US
Telephone Number	:	813-774-4446
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL FARRELL
Credential	:
Telephone Number	:	727-510-4115

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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