# CUSTOM MOBILITY INC

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

## Provider details

- **NPI number:** 1609858752
- **Authorized official:** MR. BRUCE D BAYES (PRESIDENT CEO)
- **Authorized official phone:** (727) 539-8119

## Contact information

- **Practice address:** 7199 BRYAN DAIRY ROAD, LARGO, FL 33777-1502
- **Practice address phone:** (727) 539-8119
- **Practice address fax:** (727) 539-6372
- **Mailing address:** 7199 BRYAN DAIRY ROAD, LARGO, FL 33777-1502
- **Mailing address phone:** (727) 539-8119
- **Mailing address fax:** (727) 539-6372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 62 CERTIFICATE 8809 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 08/22/2020