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Organization

WORLD OF INDEPENDENCE, IN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON JOSEY (GENERAL MANAGER / OWNER)
(407) 422-1069
Entity
Organization

Contact information

Practice address
1804 S DIVISION AVE, ORLANDO, FL 32805-4730
(407) 422-1069
(407) 420-1575
Mailing address
1804 S DIVISION AVE, ORLANDO, FL 32805-4730
(407) 422-1069
(407) 420-1575

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018-01-09
NATIONAL MOBILITY EQUIPMENT DEALERS ASSOC.
FL
01
MV50056
MOTOR VEHICLE REPAIR REGISTRATION CERTIFICATE
FL
Enumeration date
05/08/2008
Last updated
05/08/2008
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