# PREMIUM MOBILITY LLC

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

## Provider details

- **NPI number:** 1386355618
- **Authorized official:** MR. ROBERTO JAVIER LOPEZ N/A (OFFICER)
- **Authorized official phone:** (786) 451-8130

## Contact information

- **Practice address:** 1249 STIRLING RD STE 3-4, DANIA BEACH, FL 33004-3554
- **Practice address phone:** (786) 451-8130
- **Mailing address:** 2577 JARDIN DR, WESTON, FL 33327-1514
- **Mailing address phone:** (786) 451-8130

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2022
- **Last updated:** 12/07/2022