Organization Name: | DURAMED MOBILITY OF FLA, INC |
NPI Number: | 1245292960 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL P. CARLYLE (PRESIDENT/OWNER) |
Mailing Address: | 8110 Cypress Plaza Drive, Suite 308 Jax |
State: | FL US |
Postal Code: | 322564469 |
Phone Number: | 9042969339 |
Fax Number: | 9042969338 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |