Organization
CUSTOM MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE D BAYES (PRESIDENT CEO)
(727) 539-8119
Entity
Organization
Contact information
Practice address
7199 BRYAN DAIRY ROAD, LARGO, FL 33777-1502
(727) 539-8119
(727) 539-6372
Mailing address
7199 BRYAN DAIRY ROAD, LARGO, FL 33777-1502
(727) 539-8119
(727) 539-6372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
62 CERTIFICATE 8809
FL
Other
Enumeration date
11/15/2005
Last updated
08/22/2020
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