MEDICARE: CND EXPRESS SCOOTERS

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1972366540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CND EXPRESS SCOOTERS

Provider Business Mailing Address
First Line	:	1431 SIMPSON RD # 1334
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4604
Country	:	US
Telephone Number	:	863-368-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3861 CARRICK BEND DR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2975
Country	:	US
Telephone Number	:	863-368-3000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAYVID DERAT
Credential	:
Telephone Number	:	407-633-1079

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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Directions to “CND EXPRESS SCOOTERS ” Practice Location

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