# CREST CUSTOM MOBILITY LLC

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

## Provider details

- **NPI number:** 1225847833
- **Authorized official:** LINDSAY SEGO (CEO)
- **Authorized official phone:** (321) 360-6016

## Contact information

- **Practice address:** 505 MOUNTAIN DR STE I, DESTIN, FL 32541-7334
- **Practice address phone:** (321) 360-6016
- **Mailing address:** 4533 LEILANI LN, MERRITT ISLAND, FL 32953-8500
- **Mailing address phone:** (321) 360-6016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 04/09/2025