# SCOOTER DIRECT, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225298219
- **Authorized official:** MR. RUSSELL HAWKINS (PRESIDENT)
- **Authorized official phone:** (813) 932-4334

## Contact information

- **Practice address:** 11431 CHALLENGER AVE, ODESSA, FL 33556-3446
- **Practice address phone:** (727) 816-9772
- **Practice address fax:** (727) 816-9773
- **Mailing address:** 10503 LACERA DR, TAMPA, FL 33618-4009
- **Mailing address phone:** (813) 932-4334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 06/12/2008
