# ACTIVE MOBILITY & DESIGN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUDDY'S HOLIDAY MOBILITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265428437
- **Authorized official:** MR. WILLIAM D BOWES (SECRETARY/TREASURER)
- **Authorized official phone:** (772) 465-9600

## Contact information

- **Practice address:** 6144 S US HIGHWAY 1, FORT PIERCE, FL 34982-3951
- **Practice address phone:** (772) 465-9600
- **Practice address fax:** (772) 465-0966
- **Mailing address:** 6144 S US HIGHWAY 1, FORT PIERCE, FL 34982-3951
- **Mailing address phone:** (772) 465-9600
- **Mailing address fax:** (772) 465-0966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1507 | FL | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 08/22/2020