Organization
MR. MOBILITY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY STANLEY ZMYJ (OWNER)
(352) 323-8585
Entity
Organization
Contact information
Practice address
1323 S 14TH ST, LEESBURG, FL 34748-6600
(352) 323-8585
(352) 323-4802
Mailing address
1323 S 14TH ST, LEESBURG, FL 34748-6600
(352) 323-8585
(352) 323-4802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022471500
—
FL
01
—
R9210
BCBS
FL
Enumeration date
05/27/2006
Last updated
06/30/2008
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