Organization
MOBILITY EXPRESS OF FRUITLAND PARK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S BOGAN (PRESIDENT)
(904) 962-2123
Entity
Organization
Contact information
Practice address
3327 US HIGHWAY 441/27, FRUITLAND PARK, FL 34731-4478
(352) 365-2055
(352) 330-2748
Mailing address
PO BOX 5370, JACKSONVILLE, FL 32247-5370
(904) 739-1309
(904) 739-1310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1888
FL
Other
Enumeration date
07/29/2005
Last updated
04/19/2011
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