Organization
GATOR CUSTOM MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY SCOTT SIMS (GENERAL MANAGER)
(352) 373-9673
Entity
Organization
Contact information
Practice address
501 NE 23RD AVE, GAINESVILLE, FL 32609-8604
(352) 373-9673
(352) 271-9070
Mailing address
501 NE 23RD AVE, GAINESVILLE, FL 32609-8604
(352) 373-9673
(352) 271-9070
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
047295
FL
332BC3200X
Customized Equipment (DME)
Primary
1543
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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