# BRIDE MOBILITY OF TAMPA LLC

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

## Provider details

- **NPI number:** 1952161655
- **Authorized official:** MAGDALENA SANTOS (CEO)
- **Authorized official phone:** (813) 787-8375

## Contact information

- **Practice address:** 1205 TECH BLVD STE 104, TAMPA, FL 33619-7856
- **Practice address phone:** (813) 621-2001
- **Practice address fax:** (813) 701-9681
- **Mailing address:** 1205 TECH BLVD STE 104, TAMPA, FL 33619-7856
- **Mailing address phone:** (813) 621-2001
- **Mailing address fax:** (813) 701-9681

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 04/30/2024